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Telemonitoring with mobile phones is promising, but research remains to be done.
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Grown-up patients with congenital heart disease have a proven interest in mobile health.
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This study identifies the characteristics of patients with high healthcare use.
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The vast majority of these patients is in possession of a smartphone and willing to start using mobile health.
Introduction
Methods
Population and data collection
Data management and statistics
Results
Population characteristics
All patients (n = 202) | Low care utilisation (n = 186 (92%)) | High care utilisation (n = 16 (8%)) |
p
| |
---|---|---|---|---|
Median age, years | 41 (18–78) | 40 (18–78) | 42 (23–77) | |
Male, % | 94 (47) | 87 (46) | 7 (43) | 0.816 |
Congenital heart disease
| ||||
Mild, % | 39 (19) | 35 (19) | 4 (25) | 0.548 |
Moderate, % | 123 (61) | 116 (62) | 8 (50) | 0.352 |
Severe, % | 40 (20) | 35 (19) | 4 (25) | 0.548 |
New York Heart Association class
| ||||
Class I, % | 97 (48) | 95 (51) | 2 (13) | <0.001 |
Class ≥ II, % | 105 (52) | 91 (49) | 14 (87) | <0.001 |
Event history
| ||||
Cardiac surgery, % | 168 (83) | 156 (83) | 12 (75) | 0.363 |
PM/ICD implantation, % | 17 (8) | 14 (8) | 3 (19) | 0.121 |
Medication
| ||||
Diuretics, % | 19 (9) | 12 (6) | 7 (44) | <0.001 |
Antiarrhythmic, % | 62 (31) | 51 (27) | 11 (69) | 0.001 |
mHealth
| ||||
Smartphone utilisation (%) | 186 (92) | 172 (92) | 14 (87) | 0.369 |
Wiling to use mHealth (%) | 143 (71) | 131 (70) | 12 (75) | 0.70 |
Emergency visits
Symptoms
| n (%) |
Palpitations | 55 (41%) |
Chest pain | 32 (24%) |
Fever | 16 (12%) |
Fatigue | 13 (10%) |
Shortness of breath | 7 (5%) |
Haemoptysis | 6 (4%) |
Neurological symptoms | 5 (4%) |
Diagnoses
| |
No diagnosis of cardiac nature | 62 (46%) |
Arrhythmia | 50 (37%) |
Endocarditis | 6 (5%) |
Pulmonary hypertension | 6 (5%) |
Stroke | 5 (4%) |
Valvular heart disease | 3 (2%) |
Heart failure | 2 (1%) |
Therapeutic regimen consequences
| |
No changes in therapeutic regimen | 59 (44%) |
Medication changes | 52 (39%) |
Electrocardioversion | 29 (21%) |
Interventions | 4 (3%) |
Planned interventions | 3 (2%) |