Key result
Remote reprogramming of LINQ II insertable cardiac monitors reduced ICM alerts by 20.5% (p < 0.001), projecting an annual clinic time savings of 211 hours per 100 patients managed.
Why the study?
Increasing use of ICMs creates high transmission volume and clinical workload, but the impact of remote reprogramming on clinic workflow compared to previous iterations is unknown.
Does remote reprogramming of insertable cardiac monitors reduce alert burden and improve clinic workflow compared to devices without remote reprogramming capabilities?
Observational (n=39,050)
Yes
Does remote reprogramming of insertable cardiac monitors reduce alert burden and improve clinic workflow compared to devices without remote reprogramming capabilities?
Remote reprogramming of insertable cardiac monitors significantly reduces alert burden and is projected to save substantial clinic time compared to older devices requiring in-office reprogramming.
Remote reprogramming was associated with reduced ICM workload; supports prospective trials before routine adoption.
INTRODUCTION: The increasing use of insertable cardiac monitors (ICMs) for long-term continuous arrhythmia monitoring creates a high volume of transmissions and a significant workload for clinics. The ability to remotely reprogram device alert settings without in-office patient visits was recently introduced, but its impact on clinic workflow compared to the previous ICM iteration is unknown. METHODS: The aim of this real-world study was to evaluate the impact of device reprogramming capabilities on ICM alert burden and on clinic workflow. Deidentified data was obtained from US patients and a total of 19 525 receiving a LINQ II were propensity score-matched with 19 525 implanted with LINQ TruRhythm (TR) ICM based on age and reason for monitoring. RESULTS: After reprogramming, ICM alerts reduced by 20.5% (p < .001). Compared with patients monitored with LINQ TR, patients with LINQ II had their device reprogrammed sooner after implant and more frequently during follow-up. Adoption of remote programming was projected to lead to an annual total clinic time savings of 211 h per 100 ICM patients managed. CONCLUSION: These data suggest that utilization of ICM alert reprogramming has increased with remote capabilities, which may reduce clinic and patient burden for ICM follow-up and free clinician time for other valuable patient care activities.
No takes yet. Share an insight, caveat, or question.
Seiler et al. (2024) conducted an observational in Arrhythmia monitoring (n=39,050). LINQ II with remote reprogramming vs. LINQ TruRhythm (TR) ICM was evaluated on ICM alert burden (20.5% reduction, p=<0.001). Remote reprogramming of LINQ II insertable cardiac monitors reduced ICM alerts by 20.5% (p < 0.001), projecting an annual clinic time savings of 211 hours per 100 patients managed.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: