TY - JOUR
T1 - Current State of Cardiac Implantable Electronic Device Remote Monitoring in Pediatrics and Congenital Heart Disease
T2 - A PACES-Sponsored Quality Improvement Initiative
AU - the Pediatric and Congenital Electrophysiology Society (PACES)
AU - Clark, Bradley C.
AU - Olen, Melissa
AU - Dechert, Brynn
AU - Brateng, Caitlin
AU - Jarosz, Beth
AU - Smoots, Karen
AU - Connell, Patrick
AU - Dupanovic, Svjetlana Tisma
AU - Fenrich, Arnold
AU - Hill, Allison C.
AU - LaPage, Martin
AU - Mah, Douglas
AU - McCanta, Anthony
AU - Malloy-Walton, Lindsey
AU - Pflaumer, Andreas
AU - Radbill, Andrew
AU - Tanel, Ronn
AU - Whitehill, Robert
AU - Dalal, Aarti
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023
Y1 - 2023
N2 - Cardiac implantable electronic device (CIED) remote transmissions are an integral part of longitudinal follow-up in pediatric and adult congenital heart disease (ACHD) patients. To evaluate baseline CIED remote monitoring (RM) data among pediatric and ACHD centers prior to implementation of a Pediatric and Congenital Electrophysiology Society (PACES)-sponsored quality improvement (QI) project. This is a cross-sectional study of baseline CIED RM. Centers self-reported baseline data: individual center RM compliance was defined as high if there was > 80% achievement and low if < 50%. A total of 22 pediatric centers in the USA and Australia submitted baseline data. Non-physicians were responsible for management of the RM program in most centers: registered nurse (36%), advanced practice provider (27%), combination (23%), and third party (9%). Fifteen centers (68%) reported that > 80% of their CIED patients are enrolled in RM and only two centers reported < 50% participation. 36% reported high compliance of device transmission within 14 days of implant and 77% of centers reported high compliance of CIED patients enrolled in RM. The number of centers achieving high compliance differed by device type: 36% for pacemakers, 50% for ICDs, and 55% for Implantable Cardiac Monitors (ICM). All centers reported at least 50% adherence to recommended follow-up for PM and ICD, with 23% low compliance rate for ICMs. Based on this cross-sectional survey of pediatric and ACHD centers, compliance with CIED RM is sub-optimal. The PACES-sponsored QI initiative will provide resources and support to participating centers and repeat data will be evaluated after PDSA cycles.
AB - Cardiac implantable electronic device (CIED) remote transmissions are an integral part of longitudinal follow-up in pediatric and adult congenital heart disease (ACHD) patients. To evaluate baseline CIED remote monitoring (RM) data among pediatric and ACHD centers prior to implementation of a Pediatric and Congenital Electrophysiology Society (PACES)-sponsored quality improvement (QI) project. This is a cross-sectional study of baseline CIED RM. Centers self-reported baseline data: individual center RM compliance was defined as high if there was > 80% achievement and low if < 50%. A total of 22 pediatric centers in the USA and Australia submitted baseline data. Non-physicians were responsible for management of the RM program in most centers: registered nurse (36%), advanced practice provider (27%), combination (23%), and third party (9%). Fifteen centers (68%) reported that > 80% of their CIED patients are enrolled in RM and only two centers reported < 50% participation. 36% reported high compliance of device transmission within 14 days of implant and 77% of centers reported high compliance of CIED patients enrolled in RM. The number of centers achieving high compliance differed by device type: 36% for pacemakers, 50% for ICDs, and 55% for Implantable Cardiac Monitors (ICM). All centers reported at least 50% adherence to recommended follow-up for PM and ICD, with 23% low compliance rate for ICMs. Based on this cross-sectional survey of pediatric and ACHD centers, compliance with CIED RM is sub-optimal. The PACES-sponsored QI initiative will provide resources and support to participating centers and repeat data will be evaluated after PDSA cycles.
KW - ICD
KW - Implantable cardiac monitor
KW - Pacemaker
KW - Pediatrics
KW - Quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85178472154&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85178472154&partnerID=8YFLogxK
U2 - 10.1007/s00246-023-03348-x
DO - 10.1007/s00246-023-03348-x
M3 - Article
C2 - 38036754
AN - SCOPUS:85178472154
SN - 0172-0643
JO - Pediatric Cardiology
JF - Pediatric Cardiology
ER -