Mahajan Deepa, Frost Kate, Herrmann Keith, McGee-Taylor Regina
Boston Scientific, St. Paul, MN, USA.
Huntsville Hospital Heart Center, Huntsville, AL, USA.
J Innov Card Rhythm Manag. 2022 Nov 15;13(11):5230-5235. doi: 10.19102/icrm.2022.13112. eCollection 2022 Nov.
Remote device programming may enable workflow efficiencies and reduce resource strains on clinics as well as patients. Although the remote patient management ecosystem has evolved, several challenges remain, and the role of remote device programming for an insertable cardiac monitor (ICM) has yet to be described in a real-world setting. The purpose of this study was to characterize the initial real-world use of remote programming of an ICM. The cohort included 8,238 patients with the LUX-Dx™ ICM (Boston Scientific, Marlborough, MA, USA) during the first year of commercial use, which is also the first year that remote programming was available for an ICM. A descriptive review of reprogramming events revealed that 24% of devices were reprogrammed and that 82% of all reprogramming events occurred remotely. Over 74% of first reprogramming events occurred within the first 30 days following device insertion, and nearly 80% of devices only had 1 reprogramming event. These early data support the hypothesis that remote programming of an ICM is a clinically useful tool that may improve the clinical experience of device programming optimization, especially within the first month following device insertion.
远程设备编程可提高工作流程效率，并减轻诊所及患者的资源负担。尽管远程患者管理生态系统已经有所发展，但仍存在一些挑战，且在实际应用场景中，可插入式心脏监测器（ICM）的远程设备编程作用尚未得到描述。本研究的目的是描述ICM远程编程在实际应用中的初始情况。该队列包括8238例在商业使用的第一年植入LUX-Dx™ ICM（美国马萨诸塞州马尔伯勒市波士顿科学公司）的患者，这也是ICM可进行远程编程的第一年。对重新编程事件的描述性回顾显示，24%的设备进行了重新编程，且所有重新编程事件的82%是通过远程方式进行的。超过74%的首次重新编程事件发生在设备植入后的前30天内，近80%的设备仅发生过1次重新编程事件。这些早期数据支持以下假设：ICM的远程编程是一种临床有用工具，可改善设备编程优化的临床体验，尤其是在设备植入后的第一个月内。
