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The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic.
Mariani, Marco Valerio; Pierucci, Nicola; Forleo, Giovanni Battista; Schiavone, Marco; Bernardini, Alessia; Gasperetti, Alessio; Mitacchione, Gianfranco; Mei, Mariachiara; Giunta, Giuseppe; Piro, Agostino; Chimenti, Cristina; Miraldi, Fabio; Vizza, Carmine Dario; Lavalle, Carlo.
  • Mariani MV; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Pierucci N; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Forleo GB; Department of Cardiology, ASST-Fatebenefratelli Sacco, Luigi Sacco Hospital, University of Milan, 20157 Milan, Italy.
  • Schiavone M; Department of Cardiology, ASST-Fatebenefratelli Sacco, Luigi Sacco Hospital, University of Milan, 20157 Milan, Italy.
  • Bernardini A; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Gasperetti A; Department of Cardiology, ASST-Fatebenefratelli Sacco, Luigi Sacco Hospital, University of Milan, 20157 Milan, Italy.
  • Mitacchione G; Department of Cardiology, ASST-Fatebenefratelli Sacco, Luigi Sacco Hospital, University of Milan, 20157 Milan, Italy.
  • Mei M; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Giunta G; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Piro A; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Chimenti C; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Miraldi F; Cardio Thoracic-Vascular and Organ Transplantation Surgery Department, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Vizza CD; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
  • Lavalle C; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences "Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
J Clin Med ; 12(2)2023 Jan 12.
Article in English | MEDLINE | ID: covidwho-2232987
ABSTRACT
The feasibility and effectiveness of virtual visits (VVs) for cardiac electrophysiology patients are still unknown. We aimed to assess the feasibility and effectiveness of VVs as compared to in-person visits, and to describe patient experience with virtual care in clinical electrophysiology. We prospectively enrolled patients scheduled to receive a clinical electrophysiology evaluation, dividing them in two groups a VV group and an in-person visit group. Outcomes of interest were (1) improvement in symptoms after the index visit, (2) disappearance of remote monitoring (RM) alerts at follow-up, (3) necessity of urgent hospitalization and (4) patient satisfaction measured by the Patient Satisfaction Questionnaire-18 (PSQ-18). This study included 162 patients in the VV group and 185 in the in-office visit group. As compared to in-person visits, VVs resulted in a similar reduction in RM alerts (51.5% vs. 43.2%, p-value 0.527) and in symptomatic patient rates (73.6% vs. 56.9%, p-value 0.073) at follow-up, without differences in urgent hospitalization rates (p-value 0.849). Patient satisfaction with VVs was higher than with in-person evaluation (p-value < 0.012). VVs proved to be as feasible and as effective as in-person visits, with high patient satisfaction. A hybrid model of care including VVs and in-person visits may become the new standard of care after the COVID-19 pandemic is over.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2023 Document Type: Article Affiliation country: Jcm12020620

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2023 Document Type: Article Affiliation country: Jcm12020620