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. 2021 Nov;36(11):4226-4234.
doi: 10.1111/jocs.15962. Epub 2021 Sep 3.

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system

Kıvanç Atilgan  1 , Burak E Onuk  1 , Pınar Köksal Coşkun  1 , Fahri G Yeşi L  1 , Cemal Aslan  1 , Abdullah Çolak  1 , Aksüyek S Çelebi  2 , Hüseyin Bozbaş  2
Affiliations

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system

Kıvanç Atilgan et al. J Card Surg. 2021 Nov.

Abstract

Objective: We examined cardiac surgery patients who underwent monitoring of postoperative vital parameters using medical monitoring devices which transferred data to a mobile application and a web-based software.

Methods: From November 2017 to November 2020, a total of 2340 patients were enrolled in the remote patient monitoring system after undergoing cardiac surgery. The medical devices recorded vital parameters, such as blood pressure, pulse rate, saturation, body temperature, blood glucose, and electrocardiography were measured via the Health Monitor DakikApp and Holter ECG DakikApp devices which reported data to web-based software and a mobile application (DakikApp Mobile Systems, Remscheid, Germany). During the follow-up period, patients were contacted daily through text and voice messages, and video conferences. Remote Medical Evaluations (RMEs) concerning patients' medical states were performed. Medication reminders, daily treatment were communicated to the patients with the DakikApp Mobile Systems Software.

Results: During a mean follow-up period of 78.9 ± 107.1 (10-395) days, a total of 135,786 patient contacts were recorded (782 video conferences, 2805 voice messaging, and 132,199 text correspondence). The number of RMEs handled by the Telemedicine Team was 79,560. A total of 105,335 vital parameter measurements were performed and 5024 hospital application requests (6.3% per RME) were addressed successfully and hospitalization was avoided. A total of 144 (6.1%) potentially life-threatening complications were found to have been diagnosed early using the Telemedicine System.

Conclusion: Remote Patient Monitoring Systems combined with professional medical devices are feasible, effective, and safe for the purpose of improving postoperative outcomes.

Keywords: cardiac surgery; real-time ECG; remote Holter ECG; remote patient monitoring; telemedicine.

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Conflict of interest statement

The authors declare that there are no conflict of interests.

Figures

Figure 1
Figure 1
Medical devices and technical specifications used for Remote Patient Monitoring (A) Health Monitor DakikApp: blood pressure, heart rate, O2‐saturation, blood glucose; (B) Holter ECG DakikApp: 24 h Holter ECG (One Channel), live ECG, heart rate variability, telemetry)
Figure 2
Figure 2
Infrastructure of the Remote Patient Software System and both visual data transfer and system features
Figure 3
Figure 3
Text messages and measurements data sets are shown in an XY Graph in depending on time
See this image and copyright information in PMC

References

    1. Peng SY, Peng SK. Predicting adverse outcomes of cardiac surgery with the application of artificial neural networks. Anaesthesia. 2008;63(7):705‐713. 10.1111/j.1365-2044.2008.05478.x - DOI - PubMed
    1. Naughton C, Feneck RO, Roxburgh J. Early and late predictors of mortality following on‐pump coronary artery bypass graft surgery in the elderly as compared to a younger population. Eur J Cardiothorac Surg. 2009;36(4):621‐627. 10.1016/j.ejcts.2009.04.066 - DOI - PubMed
    1. Shahian DM, O'Brien SM, Filardo G, et al, Society of Thoracic Surgeons Quality Measurement Task Force . The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1‐‐coronary artery bypass grafting surgery. Ann Thorac Surg. 2009;88(1 suppl):S2‐S22. 10.1016/j.athoracsur.2009.05.053 - DOI - PubMed
    1. Alexander KP, Anstrom KJ, Muhlbaier LH, et al. Outcomes of cardiac surgery in patients > or = 80 years: results from the National Cardiovascular Network. J Am Coll Cardiol. 2000;35(3):731‐738. 10.1016/s0735-1097(99)00606-3 - DOI - PubMed
    1. Zingone B, Gatti G, Rauber E, et al. Early and late outcomes of cardiac surgery in octogenarians. Ann Thorac Surg. 2009;87(1):71‐78. 10.1016/j.athoracsur.2008.10.011 - DOI - PubMed

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