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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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