Evidence map›Paper›PMID 39330328›Full record

ArticleJournal of cardiovascular development and disease2024

Remote Monitoring: How to Maximize Efficiency through Appropriate Organization in a Device Clinic.

Massimiliano Maines, Giancarlo Tomasi, Luisa Poian, Marzia Simoncelli, Debora Zeni, Monica Santini, Maurizio Del Greco

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Massimiliano MainesDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.ORCID 0000-0002-2576-1653
Giancarlo TomasiDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Luisa PoianDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Marzia SimoncelliDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Debora ZeniDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Monica SantiniDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.
Maurizio Del GrecoDepartment of Cardiology, Santa Maria del Carmine Hospital-APSS Trento, Corso Verona 4, 38068 Rovereto, TN, Italy.ORCID 0000-0002-2728-7844

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRemote device monitoring is indicated under class I A standard of care according to the latest HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic. Despite this strong endorsement and the supporting data, the adoption of remote monitoring practices remains lower than expected. One cause of the underutilization of telemonitoring devices is work overload. Thus, a crucial point for improving the adoption of remote monitoring systems is ensuring their sustainability. MATERIALS AND

methodAfter analyzing the resources necessary to manage a device telemonitoring clinic, we initiated a process to reduce redundant transmissions: 1. eliminated scheduled loop recorder transmissions, retaining only alert transmissions; 2. reduced the frequency of the scheduled transmissions of pacemakers from four to one per year and the scheduled transmissions for defibrillators from four to two per year; and 3. optimized and customized the programming of device alerts with two primary interventions.

resultsThese strategies allowed us to significantly reduce the number of transmissions/patient/year from 7.3 to 4.7. The first change was made in January 2020, which eliminated scheduled transmissions for loop recorders, reduced transmissions per patient from 14 to 10.4 for loop recorders, and decreased global transmissions per patient from 7.6 to 6.5. The subsequent adjustment in January 2021, which reduced the scheduled transmissions of pacemakers and defibrillators, further lowered transmissions per patient from 6.5 to 5.2 for pacemakers and from 4.7 to 3.1 for defibrillators. Additionally, enhanced attention to device reprogramming starting in January 2022 resulted in a further reduction in transmissions per patient from 5 to 4.7.

conclusionCarrying out some simple changes in the number of scheduled transmissions and optimizing the programming of the devices made it possible to reduce the number of transmissions and make the remote monitoring of the devices more sustainable.

Indexed as

devices remote monitoringorganization modelsustainability

Identifiers

PMID39330328
PMCPMC11432162

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.