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The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic
The feasibility and effectiveness of virtual visits (VVs) for cardiac electrophysiology patients are still unknown. We aimed to assess the feasibility and effectiveness of VVs as compared to in-person visits, and to describe patient experience with virtual care in clinical electrophysiology. We pros...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865180/ https://www.ncbi.nlm.nih.gov/pubmed/36675547 http://dx.doi.org/10.3390/jcm12020620 |
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author | Mariani, Marco Valerio Pierucci, Nicola Forleo, Giovanni Battista Schiavone, Marco Bernardini, Alessia Gasperetti, Alessio Mitacchione, Gianfranco Mei, Mariachiara Giunta, Giuseppe Piro, Agostino Chimenti, Cristina Miraldi, Fabio Vizza, Carmine Dario Lavalle, Carlo |
author_facet | Mariani, Marco Valerio Pierucci, Nicola Forleo, Giovanni Battista Schiavone, Marco Bernardini, Alessia Gasperetti, Alessio Mitacchione, Gianfranco Mei, Mariachiara Giunta, Giuseppe Piro, Agostino Chimenti, Cristina Miraldi, Fabio Vizza, Carmine Dario Lavalle, Carlo |
author_sort | Mariani, Marco Valerio |
collection | PubMed |
description | The feasibility and effectiveness of virtual visits (VVs) for cardiac electrophysiology patients are still unknown. We aimed to assess the feasibility and effectiveness of VVs as compared to in-person visits, and to describe patient experience with virtual care in clinical electrophysiology. We prospectively enrolled patients scheduled to receive a clinical electrophysiology evaluation, dividing them in two groups: a VV group and an in-person visit group. Outcomes of interest were: (1) improvement in symptoms after the index visit, (2) disappearance of remote monitoring (RM) alerts at follow-up, (3) necessity of urgent hospitalization and (4) patient satisfaction measured by the Patient Satisfaction Questionnaire-18 (PSQ-18). This study included 162 patients in the VV group and 185 in the in-office visit group. As compared to in-person visits, VVs resulted in a similar reduction in RM alerts (51.5% vs. 43.2%, p-value 0.527) and in symptomatic patient rates (73.6% vs. 56.9%, p-value 0.073) at follow-up, without differences in urgent hospitalization rates (p-value 0.849). Patient satisfaction with VVs was higher than with in-person evaluation (p-value < 0.012). VVs proved to be as feasible and as effective as in-person visits, with high patient satisfaction. A hybrid model of care including VVs and in-person visits may become the new standard of care after the COVID-19 pandemic is over. |
format | Online Article Text |
id | pubmed-9865180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98651802023-01-22 The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic Mariani, Marco Valerio Pierucci, Nicola Forleo, Giovanni Battista Schiavone, Marco Bernardini, Alessia Gasperetti, Alessio Mitacchione, Gianfranco Mei, Mariachiara Giunta, Giuseppe Piro, Agostino Chimenti, Cristina Miraldi, Fabio Vizza, Carmine Dario Lavalle, Carlo J Clin Med Article The feasibility and effectiveness of virtual visits (VVs) for cardiac electrophysiology patients are still unknown. We aimed to assess the feasibility and effectiveness of VVs as compared to in-person visits, and to describe patient experience with virtual care in clinical electrophysiology. We prospectively enrolled patients scheduled to receive a clinical electrophysiology evaluation, dividing them in two groups: a VV group and an in-person visit group. Outcomes of interest were: (1) improvement in symptoms after the index visit, (2) disappearance of remote monitoring (RM) alerts at follow-up, (3) necessity of urgent hospitalization and (4) patient satisfaction measured by the Patient Satisfaction Questionnaire-18 (PSQ-18). This study included 162 patients in the VV group and 185 in the in-office visit group. As compared to in-person visits, VVs resulted in a similar reduction in RM alerts (51.5% vs. 43.2%, p-value 0.527) and in symptomatic patient rates (73.6% vs. 56.9%, p-value 0.073) at follow-up, without differences in urgent hospitalization rates (p-value 0.849). Patient satisfaction with VVs was higher than with in-person evaluation (p-value < 0.012). VVs proved to be as feasible and as effective as in-person visits, with high patient satisfaction. A hybrid model of care including VVs and in-person visits may become the new standard of care after the COVID-19 pandemic is over. MDPI 2023-01-12 /pmc/articles/PMC9865180/ /pubmed/36675547 http://dx.doi.org/10.3390/jcm12020620 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mariani, Marco Valerio Pierucci, Nicola Forleo, Giovanni Battista Schiavone, Marco Bernardini, Alessia Gasperetti, Alessio Mitacchione, Gianfranco Mei, Mariachiara Giunta, Giuseppe Piro, Agostino Chimenti, Cristina Miraldi, Fabio Vizza, Carmine Dario Lavalle, Carlo The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title | The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title_full | The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title_fullStr | The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title_full_unstemmed | The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title_short | The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic |
title_sort | feasibility, effectiveness and acceptance of virtual visits as compared to in-person visits among clinical electrophysiology patients during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865180/ https://www.ncbi.nlm.nih.gov/pubmed/36675547 http://dx.doi.org/10.3390/jcm12020620 |
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