Disrud Levi W, Gosse Tara A, Linn Zach D, Kashou Anthony H, Noseworthy Peter A, Fink Angela, Griffin Dawn, Faust Blade
Cardiovascular Research, Mayo Clinic, Rochester, MN.
Bold.Forward.Unbound, Mayo Clinic, Rochester, MN.
Mayo Clin Proc Digit Health. 2024 Aug 8;2(4):542-547. doi: 10.1016/j.mcpdig.2024.07.003. eCollection 2024 Dec.
To investigate the operational outcomes and implementation effects of tiered cardiac telemetry monitoring in a hospital environment using an innovative technology.
The research focuses on assessing the precision, speed, and reliability of alerts generated by a wireless device in adult patients aged 18 and above, concurrently monitored by a hardwired, continuous cardiac monitor. Using an agile methodology, we tested and validated a nonhardwired, cellular-connected continuous cardiac monitor (InfoBionic MoMe) in 162 patients. A comparison was made between the wireless device and the standard hardwired system, conducted at Mayo Clinic Hospital with Institutional Review Board approval from June 6, 2022, to December 15, 2022.
The study revealed a high correlation of events captured compared with the standard care model. Differences in algorithms, alarm parameters, and operational considerations impacting clinical implementation were observed. Connectivity improvements during the study reduced latency from 3-5 minutes to 30 seconds. Delayed alarms were attributed to device damage (4.5% of cases) and poor cellular connections (29% within 31-60 seconds).
The implementation of tiered cardiac telemetry in hospital environments, coupled with advancements in remote cardiac monitoring, supports expanded bedside telemetry capabilities and near real-time remote monitoring postdischarge. Although the study successfully validated the wireless device concept, improvements are needed before implementation for inpatient cardiac monitoring. Further research and technological enhancements can build on these findings to enhance health care practices in this domain.
利用创新技术研究分层心脏遥测监测在医院环境中的运行结果和实施效果。
该研究重点评估一种无线设备在18岁及以上成年患者中生成警报的准确性、速度和可靠性，同时由有线连续心脏监测仪进行监测。我们采用敏捷方法，在162例患者中测试并验证了一种非有线、蜂窝连接的连续心脏监测仪（InfoBionic MoMe）。在梅奥诊所医院进行了无线设备与标准有线系统的比较，研究于2022年6月6日至2022年12月15日获得机构审查委员会批准。
研究表明，与标准护理模式相比，捕获的事件具有高度相关性。观察到算法、警报参数以及影响临床实施的操作考虑因素存在差异。研究期间连接性的改善将延迟从3 - 5分钟缩短至30秒。延迟警报归因于设备损坏（4.5%的病例）和蜂窝连接不佳（31 - 60秒内为29%）。
在医院环境中实施分层心脏遥测，再加上远程心脏监测的进步，支持扩大床边遥测能力以及出院后近乎实时的远程监测。尽管该研究成功验证了无线设备概念，但在用于住院心脏监测之前仍需改进。进一步的研究和技术改进可以基于这些发现来加强该领域的医疗实践。
