使用粘性动态心电图贴片改善卒中治疗路径：缩短患者进行心电图检查的时间及后续结果。
Improving stroke pathways using an adhesive ambulatory ECG patch: reducing time for patients to ECGs and subsequent results.
作者信息
Lang Alex, Basyal Chandra, Benger Matthew, Bhalla Ajay, Edwards Faye, Farag Mena, Gadapa Naveen, Kee Yi-Yen K, Mahmood Seemin, Semple Laura, Sommerville Peter, Roots Angela, Teo James, Wright Rosie, Williams Helen
机构信息
Health Innovation Network, London, UK.
King's College Hospital NHS Foundation Trust, London, UK.
出版信息
Future Healthc J. 2022 Mar;9(1):64-66. doi: 10.7861/fhj.2021-0151.
Three south-London hospital trusts undertook a feasibility study, comparing data from 93 patients who received the 14-day adhesive ambulatory electrocardiography (ECG) patch Zio XT with retrospective data from 125 patients referred for 24-hour Holter for cryptogenic stroke and transient ischaemic attack following negative 12-lead ECG. As the ECG patch was fitted the same day as the clinical decision for ambulatory ECG monitoring was made, median time to the patient having the monitor fitted was significantly reduced in all three hospital trusts compared with 24-hour Holter being ordered and fitted. Hospital visits reduced by a median of two for patients receiving Zio XT. This project supports that it is feasible to use a patch as part of routine clinical care with a positive impact on care pathways.
伦敦南部的三家医院信托机构进行了一项可行性研究，将93名使用为期14天的可粘贴式动态心电图（ECG）贴片Zio XT的患者数据，与125名因12导联心电图呈阴性而被转诊进行24小时动态心电图监测以诊断隐匿性中风和短暂性脑缺血发作的患者的回顾性数据进行了比较。由于心电图贴片是在做出动态心电图监测临床决定的同一天安装的，与订购和安装24小时动态心电图相比，所有三家医院信托机构中患者安装监测器的中位时间都显著缩短。接受Zio XT的患者门诊次数中位数减少了两次。该项目支持将贴片作为常规临床护理的一部分是可行的，对护理路径有积极影响。
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