Digital Monitoring and Electronic Patient-Reported Outcomes Collection Following Atrial Fibrillation Ablation.

Digital Monitoring and Electronic Patient-Reported Outcomes Collection Following Atrial Fibrillation Ablation. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 15 January 2025 V1 Latest version Share on Digital Monitoring and Electronic Patient-Reported Outcomes Collection Following Atrial Fibrillation Ablation. Authors : João Almeida 0000-0001-9434-7061 [email protected] , Rafael Teixeira , Paulo Fonseca , Marco Oliveira , Helena Gonçalves , João Primo , Ricardo Fontes-Carvalho , Sérgio Barra 0000-0003-4064-3767 , Juan-Pablo Martínez , and Rute Almeida Authors Info & Affiliations https://doi.org/10.22541/au.173698002.23862247/v1 Published Heart Rhythm O2 Version of record Peer review timeline 180 views 97 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Introduction: Atrial fibrillation (AF) remains a challenging condition to manage traditionally in clinical practice, and despite improvements in digital health, its impact on clinical outcomes remains uncertain. This study aims to assess the feasibility of a structured digital-blended follow-up for AF ablation patients, incorporating electronic patient-reported outcomes measures (PROM) while evaluating its impact on one-year clinical outcomes. Methods: In this retrospective observational study, we included patients enrolled in a structured two-year digital program starting in January 2021. This featured a web platform for physicians to record clinical variables and a patient-centred mobile application to report PROM (AFEQT and PROMIS). Clinical outcomes were compared with those from a retrospective conventionally managed cohort (2017-2020) after propensity score matching (n=363 per group). Results: Until May 2024, 421 patients were enrolled (mean age: 60.9 years; 33.0% female). Over a median follow-up of 546 days, 64% of patients used the app monthly, and completeness rates for AFEQT and PROMIS questionnaires were 80 and 50%, respectively. At 12 months, significant improvements were observed for AFEQT and PROMIS scores (Cognitive and Physical Function, Anxiety, and Depression). Arrhythmia recurrence significantly influenced the rates of changes for AFEQT, Depression, and Physical Function (p<0.05 for interactions). One-year clinical outcomes were similar between matched groups, although the median time to anti-arrhythmic intervention after AF recurrence was significantly lower in the digital group (-126 days, p<0.001). Conclusion: Systematic electronic PROM collection after AF ablation is feasible in clinical practice. Structured digital-blended integrated care guarantees continuity of AF management, facilitating earlier interventions. Supplementary Material File (manuscript_jce.docx) Download 157.79 KB Information & Authors Information Version history V1 Version 1 15 January 2025 Peer review timeline Published Heart Rhythm O2 Version of Record 1 Jul 2025 Published Copyright This work is licensed under a Non Exclusive No Reuse License. Keyword clinical: catheter ablation – atrial fibrillation Authors Affiliations João Almeida 0000-0001-9434-7061 [email protected] Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Rafael Teixeira Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Paulo Fonseca Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Marco Oliveira Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Helena Gonçalves Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author João Primo Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Ricardo Fontes-Carvalho Unidade Local de Saude de Vila Nova de Gaia/Espinho View all articles by this author Sérgio Barra 0000-0003-4064-3767 Royal Papworth Hospital NHS Foundation Trust View all articles by this author Juan-Pablo Martínez University of Zaragoza View all articles by this author Rute Almeida Universidade do Porto Faculdade de Medicina View all articles by this author Metrics & Citations Metrics Article Usage 180 views 97 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation João Almeida, Rafael Teixeira, Paulo Fonseca, et al. Digital Monitoring and Electronic Patient-Reported Outcomes Collection Following Atrial Fibrillation Ablation.. Authorea . 15 January 2025. DOI: https://doi.org/10.22541/au.173698002.23862247/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. Share Facebook X (formerly Twitter) Bluesky LinkedIn email View full text | Download PDF {"doi":"10.22541/au.173698002.23862247/v1","type":"Article"} Now Reading: Share Figures Tables Close figure viewer Back to article Figure title goes here Change zoom level Go to figure location within the article Download figure Toggle share panel Toggle share panel Share Toggle information panel Toggle information panel Go to previous graphic Go to next graphic Go to previous table Go to next table All figures All tables View all material View all material xrefBack.goTo xrefBack.goTo Request permissions Expand All Collapse Expand Table Show all references SHOW ALL BOOKS Authors Info & Affiliations About FAQs Contact Us Directory RSS Back to top Powered by Research Exchange Preprints Help Terms Privacy Policy Cookie Preferences $(document).ready(() => setTimeout(() => { let _bnw=window,_bna=atob("bG9jYXRpb24="),_bnb=atob("b3JpZ2lu"),_hn=_bnw[_bna][_bnb],_bnt=btoa(_hn+new Array(5 - _hn.length % 4).join(" ")); $.get("/resource/lodash?t="+_bnt); },4000)); (function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'9ff81718c8c1dfa9',t:'MTc3OTQxMzc4OQ=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();