Differences in management of telemedicine alerts on weekdays and public holidays: Results from the OptiLink heart failure trial.

Remote monitoring heart failure implantable cardioverter-defibrillator telehealth telemedicine

Journal

Journal of telemedicine and telecare
ISSN: 1758-1109
Titre abrégé: J Telemed Telecare
Pays: England
ID NLM: 9506702

Informations de publication

Date de publication:
15 Sep 2021
Historique:
entrez: 15 9 2021
pubmed: 16 9 2021
medline: 16 9 2021
Statut: aheadofprint

Résumé

In the OptiLink heart failure study, timely and appropriate reactions to telemedicine alerts improved clinical outcomes in heart failure patients. This analysis investigates the relation between the weekday of alert transmission and the subsequent patient contact. In patients enrolled in the intervention arm of the OptiLink heart failure study ( Of 1365 transmitted alerts, 867 (63.5%) were categorized as TD1 and 498 (36.5%) as TD2. Same day telephone contacts were more frequent in TD1 (46.2%) than in TD2 (18.3%; Alert transmissions during weekends and public holidays were less likely associated with timely patient contacts and initiation of pharmacological interventions than during the week. Telemedical centres providing 24/7 remote monitoring service and specific education programmes for physicians might help to optimize patient care.

Sections du résumé

BACKGROUND BACKGROUND
In the OptiLink heart failure study, timely and appropriate reactions to telemedicine alerts improved clinical outcomes in heart failure patients. This analysis investigates the relation between the weekday of alert transmission and the subsequent patient contact.
METHODS METHODS
In patients enrolled in the intervention arm of the OptiLink heart failure study (
RESULTS RESULTS
Of 1365 transmitted alerts, 867 (63.5%) were categorized as TD1 and 498 (36.5%) as TD2. Same day telephone contacts were more frequent in TD1 (46.2%) than in TD2 (18.3%;
CONCLUSION CONCLUSIONS
Alert transmissions during weekends and public holidays were less likely associated with timely patient contacts and initiation of pharmacological interventions than during the week. Telemedical centres providing 24/7 remote monitoring service and specific education programmes for physicians might help to optimize patient care.

Identifiants

pubmed: 34524925
doi: 10.1177/1357633X211039398
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1357633X211039398

Auteurs

Jan Wintrich (J)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Valerie Pavlicek (V)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Johannes Brachmann (J)

Department of Internal Medicine II, Cardiology, Angiology and Pneumology, 15020Klinikum Coburg GmbH, Germany.

Ralph Bosch (R)

39072Cardio Centrum Ludwigsburg-Bietigheim, Germany.

Christian Butter (C)

Immanuel Herzzentrum Brandenburg, 64313Bernau, Germany.
Medizinische Hochschule Brandenburg, Germany.

Hanno Oswald (H)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, 37099University Hospital, Halle (Saale), Germany.

Karin Rybak (K)

367285Kardiologische Praxis Dessau, Dessau, Germany.

Dominic Millenaar (D)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Felix Mahfoud (F)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Michael Böhm (M)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Christian Ukena (C)

Department of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, 163331Saarland University, Germany.

Classifications MeSH