Daley Carly, Coupe Amanda, Allmandinger Tina, Shirazi Jonathan, Wagner Shauna, Drouin Michelle, Ahmed Ryan, Toscos Tammy, Mirro Michael
Parkview Mirro Center for Research and Innovation, Parkview Health, Fort Wayne, Indiana.
Parkview Physicians Group-Cardiology, Parkview Health, Fort Wayne, Indiana.
Cardiovasc Digit Health J. 2023 Jan 20;4(1):29-38. doi: 10.1016/j.cvdhj.2022.10.007. eCollection 2023 Feb.
Cardiovascular implantable electronic devices (CIEDs) capture an abundance of data for clinicians to review and integrate into the clinical decision-making process. The multitude of data from different device types and vendors presents challenges for viewing and using the data in clinical practice. Efforts are needed to improve CIED reports by focusing on key data elements used by clinicians.
The purpose of this study was to uncover the extent to which clinicians use the specific types of data elements from CIED reports in clinical practice and explore clinicians' perceptions of CIED reports.
A brief, web-based, cross-sectional survey study was deployed using snowball sampling from March 2020 through September 2020 to clinicians who are involved in the care of patients with CIEDs.
Among 317 clinicians, the majority specialized in electrophysiology (EP) (80.1%), were from North America (88.6%), and were white (82.2%). Over half (55.3%) were physicians. Arrhythmia episodes and ventricular therapies rated the highest among 15 categories of data presented, and nocturnal or resting heart rate and heart rate variability were rated the lowest. As anticipated, clinicians specializing in EP reported using the data significantly more than other specialties across nearly all categories. A subset of respondents offered general comments describing preferences and challenges related to reviewing reports.
CIED reports contain an abundance of information that is important to clinicians; however, some data are used more frequently than others, and reports could be streamlined for users to improve access to key information and facilitate more efficient clinical decision making.
心血管植入式电子设备（CIED）可收集大量数据，供临床医生查阅并纳入临床决策过程。来自不同设备类型和供应商的大量数据给临床实践中查看和使用这些数据带来了挑战。需要通过关注临床医生使用的关键数据元素来改进CIED报告。
本研究的目的是揭示临床医生在临床实践中使用CIED报告中特定类型数据元素的程度，并探讨临床医生对CIED报告的看法。
2020年3月至2020年9月，采用雪球抽样法，对参与CIED患者护理的临床医生开展了一项简短的基于网络的横断面调查研究。
在317名临床医生中，大多数专长于电生理学（EP）（80.1%），来自北美（88.6%），为白人（82.2%）。超过半数（55.3%）为医生。在列出的15类数据中，心律失常发作和心室治疗的数据使用率最高，夜间或静息心率以及心率变异性的数据使用率最低。正如预期的那样，专长于EP的临床医生报告称，几乎在所有类别中，他们使用数据的频率都明显高于其他专业。一部分受访者给出了一般性评论，描述了与查阅报告相关的偏好和挑战。
CIED报告包含了对临床医生很重要的大量信息；然而，一些数据的使用频率高于其他数据，可以对报告进行简化，以便用户更好地获取关键信息，促进更高效的临床决策。
