The use of remote monitoring of patients with cardiac implantable electronic devices in Poland

Tajstra, Mateusz; Dyrbuś, Maciej; Grabowski, Marcin; Rokicki, Jakub; Nowak, Marcin; Gąsior, Mariusz

doi:10.33963/kp.a2022.0050

Cited by 5 publications

(4 citation statements)

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“…Analysis of RM implementation in Polish electrotherapy facilities published in 2022 revealed that only 28% of 50 surveyed centers used RM, and half of them had experience lasting over 5 years. The primary barriers for its wider implementation were concerns about additional workload and lack of RM reimbursement [20]. Considering the published data, our results fall within a narrow group of experienced centers and reveal similar challenges which we had encountered during observation: lack of reimbursement, generation of additional workload with limited resources, legal uncertainties and liability.…”

Section: Discussionsupporting

confidence: 67%

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Kowal,

Baszko,

Czyż

et al. 2024

Pol Heart J

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Background: Remote monitoring (RM) of cardiac implantable electronic devices for adults offers improved treatment efficacy and, consequently, better patient clinical outcomes. There is scant data on the value and prognosis of RM in the pediatric population. Aims:The goal of this study was to determine the efficacy of RM by analyzing the connectivity of bedside transmitters, adherence to planned automatic follow-ups, and occurrence of alert-based events. Methods:We evaluated the pediatric population with implanted pacemakers for congenital AV block or after surgically corrected congenital heart diseases.Results: A total of 69 patients were included in our study. The median (Q1-Q3) patient age was 6.0 (2.0-11.0) years. All patients received bedside transmitters and were enrolled in the RM system. Among them, 95.7% of patients had their first scheduled follow-up successfully sent. Patients were followed up remotely over a median time of 33.0 (13-45) months. Only 42% of patients were continuously monitored, and all scheduled transmissions were delivered on time. Further analysis revealed that 34.8% of patients missed transmissions between June and September (holiday season). Alert-based events were observed in 40.6% patients, mainly related to epicardial lead malfunction and arrhythmic events. Overall compliance was also compromised by socioeconomic factors. Conclusions:Our findings are in concordance with recently published results by PACES regarding a high level of compliance in patient enrollment to RM and time to initial transmission. However, a lower level of adherence was observed during the holiday season due to interrupted connectivity of bedside transmitters. Importantly, a relatively low occurrence of alert transmissions was observed, mainly related to epicardial lead malfunction and arrhythmic events.

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Section: Discussionsupporting

confidence: 67%

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Kowal,

Baszko,

Czyż

et al. 2024

Pol Heart J

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“…Unfortunately, too few of Poland's centers use RM of patients with CIEDs. Basic barriers to its wider implementation are concerns about additional workload and lack of RM reimbursement [10]. Fortunately, the National Health Fund has recently made declarations that the situation is to be changed in the near future -for which both we and patients are impatiently waiting.…”

Section: Resultsmentioning

confidence: 99%

Implementation of remote monitoring in patients implanted with T-ICD and S-ICD involved in a recall campaign: An excellent tool with insufficient availability

et al. 2023

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“…An analysis of the baseline characteristics revealed that over 50% of study participants were enrolled in France, Germany and Spain, countries with wide reimbursement policies. Contrary to that, there is a lack of remote monitoring reimbursement in Poland, which is one of the primary barriers for its wider implementation [ 20 , 21 ]. Of note, almost a quarter of Polish patients wanted to learn more about the remote monitoring of an ICD.…”

Section: Discussionmentioning

confidence: 99%

Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey

Januszkiewicz

Grabowski

Farkowski

et al. 2023

IJERPH

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Background: The aim of this study was to compare differences between Polish ICD recipients and ICD recipients from other European countries in terms of quality of life, information provision before ICD implantation, and end-of-life issues. Methods: This is a sub-analysis of the “Living with an ICD” patient survey (25-item questionnaire) organized by the European Heart Rhythm Association between 12 April 2021 and 5 July 2021 in ten European countries. Results: There were 410 (22.7%) patients from Poland and 1399 (77.3%) from other European countries. A total of 51.0% of Polish patients reported improvement in their quality of life compared with 44.3% in other countries (p = 0.041). Remote monitoring was three times more often utilized in other countries than in Poland (66.8% vs. 21.0%, p < 0.001). While 78.1% of Poles felt well informed before ICD implantation compared with 69.6% of subjects from other countries (p = 0.001), they were less familiar with the ICD deactivation process than others (38.9% vs. 52.5%, p < 0.001). Conclusions: Despite the less frequent use of remote monitoring and gaps in end-of-life issues, Polish ICD recipients reported more favorable quality of life and a higher level of information received before device placement than patients in other European countries.

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The use of remote monitoring of patients with cardiac implantable electronic devices in Poland

Cited by 5 publications

References 0 publications

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Implementation of remote monitoring in patients implanted with T-ICD and S-ICD involved in a recall campaign: An excellent tool with insufficient availability

Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey

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