Arrhythmias & electrophysiology

Comparison of data quality and monitoring completion rates between clinic and self-applied electrocardiogram (ECG) patches

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

Self-applied ECG patches were returned at a lower rate and had a statistically lower percentage of analyzable time than clinic-applied patches. However, there were no differences between groups in mean percentages of prescribed wear time, and mean percentages of analyzable time were >95% in all groups.

Study context

Population
Patients prescribed an ECG patch
Participants
29,093 ECG patch prescriptions
Exposure
Self-applied vs clinic-applied ECG patches, pre-COVID and COVID years
Outcome
ECG patch return rate, mean % analyzable time, mean % prescribed wear time

Main finding

As reported in the abstract

ECG patch return rate

P < 0.001

Observational data: associations, not effects.

Further findings

Mean

OutcomePre-COVID clinic-appliedCOVID clinic-appliedCOVID self-appliedP value
Mean % analyzable time (returned patches)COVID self-applied vs clinic-applied groups96.6% (SD 7.4%)96.6% (SD 6.6%)95.9% (SD 8.2%)P < 0.001
Mean % prescribed wear timeNo differences between groups96.7% (SD 34.3%)97.4% (SD 39.8%)98.1% (SD 52.1%)P = 0.09
  • Mean % analyzable time (returned patches): 28,048 returned patches (17.5% self-applied)

Original publication

Comparison of data quality and monitoring completion rates between clinic and self-applied ECG patches. Heart Rhythm. Published 1 December 2022. doi:10.1016/j.hrthm.2022.11.020

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