Optimising remote monitoring for cardiac implantable electronic devices: a UK Delphi consensus.
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All Authors
Ahmad, S.
Straw, S.
Gierula, J.
Roberts, E.
Collinson, J.
Swift, M.
Monkhouse, C.
Broadhurst, L.
Allan, A.
Jamil, HA.
LTHT Author
Dixon, Anne
Paton, Maria
Paton, Maria
LTHT Department
Cardio-Respiratory
Cardiovascular Clinical Research Facility
Cardiovascular Clinical Research Facility
Non Medic
Cardiac Physiologist
Publication Date
2024
Item Type
Journal Article
Language
Subject
Subject Headings
Abstract
BACKGROUND: Remote monitoring (RM) is recommended for the ongoing management of patients with cardiac implantable electronic devices (CIEDs). Despite its benefits, RM adoption has increased the workload for cardiac rhythm management teams. This study used a modified Delphi method to develop a consensus on optimal RM management for adult patients with a CIED in the UK.
METHODS: A national steering committee comprising cardiac physiologists, cardiologists, specialist nurses, support professionals and a patient representative developed 114 statements on best RM practices, covering capacity, support, service delivery, coordination and clinical escalation. An online questionnaire was used to gather input from UK specialists, with consensus defined as >=75% agreement.
RESULTS: Between 16 October 2023 and 4 December 2023, 115 responses were received. Of the statements, 79 (69%) achieved high agreement (>=90%), 20 (18%) showed moderate agreement (75%-89%) and 15 (13%) did not achieve consensus. The highest agreement focused on patient education and support, while the lowest concerned workload distribution.
CONCLUSIONS: There is strong agreement on best practices for RM of CIEDs among UK healthcare professionals. Key recommendations include ensuring patient access, providing adequate resources, adopting new working methods, enhancing patient education, establishing clear clinical escalation pathways and standardising national policies. Implementing these best practices, tailored to local capabilities, is essential for effective and equitable RM services across the UK.
Journal
Heart