Authors

M.ª Pilar Nieto Gutiérrez1, Andrea García García1, Isabel M.ª Borrego Iglesias1, José Carlos Rodríguez Rodríguez1, Yolanda Calero Vallés1, Pablo Bastos Amador2, Rocío Cózar León2, Álvaro Izquierdo Bajo2, Ernesto Díaz Infante2

Position

¹Diplomada/o Universitario de Enfermería, Unidad de Arritmias, Servicio de Cardiología. Área Hospitalaria Virgen Macarena de Sevilla. ²Facultativo Especialista de Área, Unidad de Arritmias, Servicio de Cardiología. Área Hospitalaria Virgen Macarena de Sevilla.

Contact address

Mª Pilar Nieto Gutiérrez. Hospital Universitario Virgen Macarena. Av. Dr. Fedriani, 3. 41009 Sevilla

Contact email: pilar.nieto.gut@hotmail.es

Abstract

Introduction. As we approached the start of a remote monitoring service for patients with pacemakers in our unit, we thought it would be interesting to know more about the management and organization of remote monitoring in other Spanish Units.

Material and method. Descriptive, crosssection, observational study. We selected a non-random sample of units where patients with pacemakers are followed. Data was collected by means of an online questionnaire and participation was anonymous and voluntary. The statistical analysis was performed with the SPSS 26.0 software.

Outcomes. A total of 42 active Spanish Units from 16 Autonomous Communities answered the questionnaire, with a greater participation from Andalusia, of which 45.2% were Arrhythmias/Electrophysiology Units. Remote monitoring of patients with cardiac implantable electronic devices was performed in 90.5% of these units. In 78.6% of cases, nurses are directly involved in this activity, although a minority of units have nursing staff exclusively dedicated to remote monitoring. Remote monitoring of all compatible pacemakers was performed in 50% of units, while the other 50% performed remote monitoring in the event of incidents with the device or if the patient had difficulties traveling to the hospital. In 52.4% of units, the remote monitoring of pacemakers replaced on- site monitoring; also, 64.3% of units delivered the communicator at discharge after implantation and 40.5% required only the informed consent provided by the industry. In case of incidents with programmed transmissions, 61.1% units contacted the patient, mostly by telephone.

Conclusions. At national level, the organization of remote monitoring is very heterogeneous. This activity is carried out mainly by nurses, who require high experience and qualifications. Therefore, structured and predefined medical protocols are necessary.

Keywords:

telemonitoring; Artificial pacemaker; nursing; organization and administration; efficiency; artificial cardiac pacing

Versión en Español

Título:

Análisis multicéntrico sobre la organización de seguimiento remoto en pacientes portadores de marcapasos

Bibliography