Monika Gawa?ko
The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: Centre and patient experiences
Gawa?ko, Monika; Duncker, David; Manninger, Martin; Van der Velden, Rachel M.J.; Hermans, Astrid N.L.; Verhaert, Dominique V.M.; Pison, Laurent; Pisters, Ron; Hemels, Martin; Sultan, Arian; Steven, Daniel; Gupta, Dhiraj; Heidbuchel, Hein; Sohaib, Afzal; Wijtvliet, Petra; Tieleman, Robert; Gruwez, Henri; Chun, Julian; Schmidt, Boris; Keaney, John J.; M�ller, Patrick; Lodzi?ski, Piotr; Svennberg, Emma; Hoekstra, Olga; Jansen, Ward P.J.; Desteghe, Lien; de Potter, Tom; Tomlinson, David R.; Neubeck, Lis; Crijns, Harry J.G.M.; Pluymaekers, Nikki A.H.A.; Hendriks, Jeroen M.; Linz, Dominik
Authors
David Duncker
Martin Manninger
Rachel M.J. Van der Velden
Astrid N.L. Hermans
Dominique V.M. Verhaert
Laurent Pison
Ron Pisters
Martin Hemels
Arian Sultan
Daniel Steven
Dhiraj Gupta
Hein Heidbuchel
Afzal Sohaib
Petra Wijtvliet
Robert Tieleman
Henri Gruwez
Julian Chun
Boris Schmidt
John J. Keaney
Patrick M�ller
Piotr Lodzi?ski
Emma Svennberg
Olga Hoekstra
Ward P.J. Jansen
Lien Desteghe
Tom de Potter
David R. Tomlinson
Prof Lis Neubeck L.Neubeck@napier.ac.uk
Professor
Harry J.G.M. Crijns
Nikki A.H.A. Pluymaekers
Jeroen M. Hendriks
Dominik Linz
Abstract
Aims: TeleCheck-AF is a multicentre international project initiated to maintain care delivery for patients with atrial fibrillation (AF) during COVID-19 through teleconsultations supported by an on-demand photoplethysmography-based heart rate and rhythm monitoring app (FibriCheck® ). We describe the characteristics, inclusion rates and experiences from participating centres according the TeleCheck-AF infrastructure as well as characteristics and experiences from recruited patients.
Methods: Three surveys exploring centre characteristics (n=25), centre experiences (n=23) and patient experiences (n=826) were completed. Self-reported patient characteristics were obtained from the app.
Results: Most centres were academic (64%) and specialized public cardiology/district hospitals (36%). Majority of centres had AF outpatient clinics (64%) and only 36% had AF ablation clinics. The time required to start patient inclusion and total number of included patients in the project was comparable for centres experienced (56%) or inexperienced in mHealth use. Within 28 weeks, 1930 AF patients were recruited, mainly for remote AF control (31% of patients) and AF ablation follow-up (42%). Average inclusion rate was highest during the lockdown restrictions and reached a steady state at a lower level after easing the restrictions (188 vs 52 weekly recruited patients). Majority (>80%) of the centres reported no problems during the implementation of the TeleCheck-AF approach. Recruited patients (median age 64 [55-71], 62% male) agreed that the FibriCheck® app was easy to use (94%).
Conclusions: Despite different health care settings and mHealth experiences, the TeleCheck-AF approach could be set up within an extremely short time and easily used in different European centres during COVID-19.
Citation
Gawałko, M., Duncker, D., Manninger, M., Van der Velden, R. M., Hermans, A. N., Verhaert, D. V., Pison, L., Pisters, R., Hemels, M., Sultan, A., Steven, D., Gupta, D., Heidbuchel, H., Sohaib, A., Wijtvliet, P., Tieleman, R., Gruwez, H., Chun, J., Schmidt, B., Keaney, J. J., …Linz, D. (2021). The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: Centre and patient experiences. EP-Europace, 23(7), 1003-1015. https://doi.org/10.1093/europace/euab050
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 3, 2021 |
Online Publication Date | Apr 2, 2021 |
Publication Date | 2021-07 |
Deposit Date | Feb 8, 2021 |
Publicly Available Date | Apr 3, 2022 |
Print ISSN | 1099-5129 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 23 |
Issue | 7 |
Pages | 1003-1015 |
DOI | https://doi.org/10.1093/europace/euab050 |
Keywords | Atrial fibrillation; eHealth; mHealth; remote monitoring; telemedicine; TeleCheck-AF; COVID-19 |
Public URL | http://researchrepository.napier.ac.uk/Output/2726850 |
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The European TeleCheck-AF Project On Remote App-based Management Of Atrial Fibrillation During The COVID-19 Pandemic: Centre And Patient Experiences (published version)
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Copyright Statement
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License.
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