Impact of COVID-19 Pandemic on Remote Monitoring of Cardiac Implantable Electronic Devices in Italy: Results of a Survey Promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

被引:25
|
作者
Maines, Massimiliano [1 ]
Palmisano, Pietro [2 ]
Del Greco, Maurizio [1 ]
Melissano, Donato [3 ]
De Bonis, Silvana [4 ]
Baccillieri, Stella [5 ]
Zanotto, Gabriele [6 ]
D'Onofrio, Antonio [7 ]
Ricci, Renato Pietro [8 ]
De Ponti, Roberto [9 ]
Boriani, Giuseppe [10 ]
机构
[1] Santa Maria Carmine Hosp, I-38068 Rovereto, Italy
[2] Card G Panico Hosp, Cardiol Unit, I-73039 Tricase, Italy
[3] F Ferrari Hosp, I-73042 Casarano, Italy
[4] Osped Ferrari, Dept Cardiol, I-87012 Castrovillari, Italy
[5] Osped San Bassiano, I-36061 Bassano Del Grappa, Italy
[6] Osped Mater Salutis Legnago, I-37045 Verona, Italy
[7] Osped Colli Monaldi, AORN, Electrophysiol & Cardiac Pacing Unit, I-80131 Naples, Italy
[8] Ctr CardioAritmol, I-00152 Rome, Italy
[9] Univ Insubria, Dept Med & Surg, I-21100 Varese, Italy
[10] Univ Modena & Reggio Emilia, Policlin Modena, Cardiol Div, Dept Biomed Metab & Neural Sci, I-41121 Modena, Italy
关键词
COVID-19; remote monitoring; telecardiology; cardiac implantable electronic devices; FOLLOW-UP; ATRIAL-FIBRILLATION; CLINICAL-PRACTICE; MANAGEMENT; HOSPITALIZATIONS; DEFIBRILLATORS; IMPLEMENTATION; INFORMATION; STRATEGIES; EVENTS;
D O I
10.3390/jcm10184086
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The COVID-19 pandemic has had a profound impact on the organisation of health care in Italy, with an acceleration in the development of telemedicine. To assess the impact of the COVID-19 pandemic on the spread of remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) in Italy, a survey addressed to cardiologists operating in all Italian CIED-implanting centres was launched. A total of 127 cardiologists from 116 Italian arrhythmia centres took part in the survey, 41.0% of all 283 CIED-implanting centres operating in Italy in 2019. All participating centres declared to use RM of CIEDs. COVID-19 pandemic resulted in an increase in the use of RM in 83 (71.6%) participating centres. In a temporal perspective, an increase in the median number of patients per centre followed up by RM was found from 2012 to 2017, followed by an exponential increase from 2017 to 2020. In 36 participating centres (31.0%) a telehealth visits service was activated as a replacement for in-person outpatient visits (in patients with or without CIED) during the COVID-19 pandemic. COVID-19 pandemic has caused an acceleration in the use of RM of CIEDs and in the use of telemedicine in the clinical practice of cardiology.
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页数:12
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