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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.


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 and results

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. Most centres were academic (64%) and specialized public cardiology/district hospitals (36%). Majority of the 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%).

Conclusion

Despite different health care settings and mobile health experiences, the TeleCheck-AF approach could be set up within an extremely short time and easily used in different European centres during COVID-19.

SUBMITTER: Gawalko M 

PROVIDER: S-EPMC8083545 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Publications

The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: centre and patient experiences.

Gawałko Monika M   Duncker David D   Manninger Martin M   van der Velden Rachel M J RMJ   Hermans Astrid N L ANL   Verhaert Dominique V M DVM   Pison Laurent L   Pisters Ron R   Hemels Martin M   Sultan Arian A   Steven Daniel D   Gupta Dhiraj D   Heidbuchel Hein H   Sohaib Afzal A   Wijtvliet Petra P   Tieleman Robert R   Gruwez Henri H   Chun Julian J   Schmidt Boris B   Keaney John J JJ   Müller Patrick P   Lodziński Piotr P   Svennberg Emma E   Hoekstra Olga O   Jansen Ward P J WPJ   Desteghe Lien L   de Potter Tom T   Tomlinson David R DR   Neubeck Lis L   Crijns Harry J G M HJGM   Pluymaekers Nikki A H A NAHA   Hendriks Jeroen M JM   Linz Dominik D  

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 20210701 7


<h4>Aims</h4>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.<h4>Met  ...[more]

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