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The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience

FUNDING ACKNOWLEDGEMENTS: Type of funding sources: None. BACKGROUND: TeleCheck-AF is a multicentre international project initiated to implement remote care delivery for patients with atrial fibrillation (AF) through teleconsultations supported by an on-demand photoplethysmography (PPG)-based heart r...

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Autores principales: Hermans, A N L, Gawalko, M, Verhaert, D V M, Duncker, D, Manninger, M, Scherr, D, Sultan, A, Steven, D, Lodzinski, P, Gupta, D, Vernooy, K, Sohaib, A, Pluymaekers, N A H A, Hendriks, J M, Linz, D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206923/
http://dx.doi.org/10.1093/europace/euad122.551
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author Hermans, A N L
Gawalko, M
Verhaert, D V M
Duncker, D
Manninger, M
Scherr, D
Sultan, A
Steven, D
Lodzinski, P
Gupta, D
Vernooy, K
Sohaib, A
Pluymaekers, N A H A
Hendriks, J M
Linz, D
author_facet Hermans, A N L
Gawalko, M
Verhaert, D V M
Duncker, D
Manninger, M
Scherr, D
Sultan, A
Steven, D
Lodzinski, P
Gupta, D
Vernooy, K
Sohaib, A
Pluymaekers, N A H A
Hendriks, J M
Linz, D
author_sort Hermans, A N L
collection PubMed
description FUNDING ACKNOWLEDGEMENTS: Type of funding sources: None. BACKGROUND: TeleCheck-AF is a multicentre international project initiated to implement remote care delivery for patients with atrial fibrillation (AF) through teleconsultations supported by an on-demand photoplethysmography (PPG)-based heart rate/rhythm monitoring app. PURPOSE: The current sub-study of the TeleCheck-AF project aimed to provide the first real-world dataset on feasibility and patient experience of this standardized mobile health (mHealth) infrastructure in the clinical setting of follow-up after catheter ablation. METHODS: This sub-study included consecutive patients in each centre who have undergone catheter ablation. In the post-ablation period, at the 3-, 6- or 12-month visit, patients were provided with the app and were instructed to perform 60-second heart rate/rhythm recordings three times daily and in case of symptoms for seven consecutive days prior to teleconsultation. Recurrences of AF were documented by PPG-based app (FibriCheck®). Motivation was defined as number of days in which the expected number of measurements (≥three/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Patients’ experience was based on a survey sent to each patient via e-mail. RESULTS: Data from 588 patients (median age 63 [56-70] years, 39% female) from eight centres from six European countries were analysed. Patients with both optimal motivation (100%) and adherence (≥100%) constituted 158 (29%) of the study population and had more often previously undergone an ablation for AF (77% vs 62%), P=0.005) and had a higher number of AF PPG recordings (mean 1.9 vs 0.8, P=0.017). The app gave patients a safe feeling (70%) and automated reminders were useful (68%). Patients agreed that the app was easy to use (97%), easy to install (89%) and that they would like to use the app in the future (70%). In 95 (16%) patients, AF was detected by the app. There was no statistically significant difference between patients with (vs without) app-based detected AF, except a higher prevalence of prescribed three or more cardiovascular drugs (65% vs 53%, P=0.032) and beta-blockers (64% vs 52%, P=0.033). Patients with (vs without) app-based detected AF had higher optimal adherence (66% vs 41%, P<0.001). CONCLUSION: The TeleCheck-AF approach is feasible and associated with high adherence as well as motivation to use the app and with optimal patient experience. Whether this approach can replace conventional rhythm follow-up after catheter ablation required further study. [Figure: see text] [Figure: see text]
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spelling pubmed-102069232023-05-25 The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience Hermans, A N L Gawalko, M Verhaert, D V M Duncker, D Manninger, M Scherr, D Sultan, A Steven, D Lodzinski, P Gupta, D Vernooy, K Sohaib, A Pluymaekers, N A H A Hendriks, J M Linz, D Europace 38.7 - Remote Patient Monitoring and Telehealth FUNDING ACKNOWLEDGEMENTS: Type of funding sources: None. BACKGROUND: TeleCheck-AF is a multicentre international project initiated to implement remote care delivery for patients with atrial fibrillation (AF) through teleconsultations supported by an on-demand photoplethysmography (PPG)-based heart rate/rhythm monitoring app. PURPOSE: The current sub-study of the TeleCheck-AF project aimed to provide the first real-world dataset on feasibility and patient experience of this standardized mobile health (mHealth) infrastructure in the clinical setting of follow-up after catheter ablation. METHODS: This sub-study included consecutive patients in each centre who have undergone catheter ablation. In the post-ablation period, at the 3-, 6- or 12-month visit, patients were provided with the app and were instructed to perform 60-second heart rate/rhythm recordings three times daily and in case of symptoms for seven consecutive days prior to teleconsultation. Recurrences of AF were documented by PPG-based app (FibriCheck®). Motivation was defined as number of days in which the expected number of measurements (≥three/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Patients’ experience was based on a survey sent to each patient via e-mail. RESULTS: Data from 588 patients (median age 63 [56-70] years, 39% female) from eight centres from six European countries were analysed. Patients with both optimal motivation (100%) and adherence (≥100%) constituted 158 (29%) of the study population and had more often previously undergone an ablation for AF (77% vs 62%), P=0.005) and had a higher number of AF PPG recordings (mean 1.9 vs 0.8, P=0.017). The app gave patients a safe feeling (70%) and automated reminders were useful (68%). Patients agreed that the app was easy to use (97%), easy to install (89%) and that they would like to use the app in the future (70%). In 95 (16%) patients, AF was detected by the app. There was no statistically significant difference between patients with (vs without) app-based detected AF, except a higher prevalence of prescribed three or more cardiovascular drugs (65% vs 53%, P=0.032) and beta-blockers (64% vs 52%, P=0.033). Patients with (vs without) app-based detected AF had higher optimal adherence (66% vs 41%, P<0.001). CONCLUSION: The TeleCheck-AF approach is feasible and associated with high adherence as well as motivation to use the app and with optimal patient experience. Whether this approach can replace conventional rhythm follow-up after catheter ablation required further study. [Figure: see text] [Figure: see text] Oxford University Press 2023-05-24 /pmc/articles/PMC10206923/ http://dx.doi.org/10.1093/europace/euad122.551 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle 38.7 - Remote Patient Monitoring and Telehealth
Hermans, A N L
Gawalko, M
Verhaert, D V M
Duncker, D
Manninger, M
Scherr, D
Sultan, A
Steven, D
Lodzinski, P
Gupta, D
Vernooy, K
Sohaib, A
Pluymaekers, N A H A
Hendriks, J M
Linz, D
The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title_full The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title_fullStr The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title_full_unstemmed The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title_short The European TeleCheck-AF project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
title_sort european telecheck-af project on remote app-based management of atrial fibrillation: ablation outpatient clinic experience
topic 38.7 - Remote Patient Monitoring and Telehealth
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206923/
http://dx.doi.org/10.1093/europace/euad122.551
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