Arrhythmias & electrophysiology

Bridging the Gap: Remote Evaluation and Programming of Cardiac Implantable Devices in Medically Underserved Areas

JACC Clin ElectrophysiolPublished Prospective comparative study

Authors' conclusion

Remote evaluation of CIEDS in patients living MUA is feasible and safe. This approach is associated with a high level of satisfaction, lower economic and ecological costs compared with the in-person assessment in this population.

Study context

Population
Patients with cardiac implantable electronic devices (CIEDs) living >100 km from Bordeaux University Hospital (medically underserved areas)
Participants
34 patients
Exposure
Remote CIED evaluation at a local nurse office vs in-person evaluation at the hospital
Outcome
Satisfaction with remote evaluation
Methodological detailssingle-centre (Bordeaux University Hospital), each patient had both evaluations
  • Single-centre (Bordeaux University Hospital)
  • Each patient had both evaluations

Main finding

As reported in the abstract

Remote

94%

Observational data: associations, not effects.

Further findings

Distance travelled · spread printed as "ICR"

P < 0.001

Use of a medical vehicle · reduced by a factor 7

P = 0.001

Total travelling cost per patient · reduced by a factor 32

P < 0.001

Travel carbon footprint · 14 times lower

P < 0.001

Original publication

Bridging the Gap: Remote Evaluation and Programming of Cardiac Implantable Devices in Medically Underserved Areas. JACC Clin Electrophysiol. Published 27 November 2024. doi:10.1016/j.jacep.2024.09.027

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