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Successful implementation of telehealth visits in the paediatric heart failure and heart transplant population

Published online by Cambridge University Press:  31 July 2023

Neha Bansal*
Affiliation:
Division of Pediatric Cardiology, Mount Sinai Kravis Children’s Hospital, New York, NY, USA
Nikita D'Souza
Affiliation:
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Bethany L. Wisotzkey
Affiliation:
Division of Pediatric Cardiology, Phoenix Children’s Hospital, Phoenix, AZ, USA
Erin Albers
Affiliation:
Division of Pediatric Cardiology, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA
Renata Shih
Affiliation:
Division of Pediatric Cardiology, Congenital Heart Center, University of Florida, FL, USA
Vernat Exil
Affiliation:
Division of Pediatric Cardiology, Saint Louis University, Cardinal Glennon Children’s Hospital, MO, USA
Melissa McQueen
Affiliation:
Parent representatives
Joseph P. Hillenburg
Affiliation:
Parent representatives
Estela Azeka
Affiliation:
Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
Sabrina Law
Affiliation:
Division of Pediatric Cardiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
David M. Peng
Affiliation:
Division of Cardiology, C.S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, MI, USA
Matthew O’Connor
Affiliation:
Division of Pediatric Cardiology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Robert Gajarski
Affiliation:
Division of Cardiology, Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA
Christina Vanderpluym
Affiliation:
Division of Cardiology, Boston Children’s Hospital, MA, USA
Angela Lorts
Affiliation:
Division of Cardiology, Cincinnati Hospital Medical Center, Cincinnati, OH, USA
Aliessa Barnes
Affiliation:
Division of Cardiology, Children’s Mercy Hospital, University of Missouri, Kansas City, MO, USA
Melanie Sojka
Affiliation:
The Willis J Potts Heart Center, Ann & Robert H Lurie Children’s Hospital of Chicago, Chicago, IL, USA
Maria Bano
Affiliation:
Division of Pediatric Cardiology, UT Southwestern Medical Center, TX, USA
Megan Keating
Affiliation:
Benioff Children’s Hospital, UCSF, CA, USA
David N. Rosenthal
Affiliation:
Stanford Children’s Health, Division of Pediatric Cardiology at Stanford University School of Medicine, Palo Alto, CA, USA
Jennifer Conway
Affiliation:
Stollery Children’s Hospital, AB, Canada
Katie Schroeder
Affiliation:
Stollery Children’s Hospital, AB, Canada
Deipanjan Nandi
Affiliation:
Division of Cardiology, Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA
*
Corresponding author: Neha Bansal; Email: nbansalmd@gmail.com

Abstract

The Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and Pediatric Heart Transplant Society (PHTS) convened a working group at the beginning of 2020 during the COVID-19 pandemic, with the aim of using telehealth as an alternative medium to provide quality care to a high-acuity paediatric population receiving advanced cardiac therapies. An algorithm was developed to determine appropriateness, educational handouts were developed for both patients and providers, and post-visit surveys were collected. Telehealth was found to be a viable modality for health care delivery in the paediatric heart failure and transplant population and has promising application in the continuity of follow-up, medication titration, and patient education/counselling domains.

Type
Original Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

Satou, GM, Rheuban, K, Alverson, D, et al. Telemedicine in pediatric cardiology: a scientific statement from the American Heart Association. Circulation 2017; 135: e648e78.Google Scholar
Lorts, A, Smyth, L, Gajarski, RJ, et al. The creation of a pediatric health care learning network: the ACTION quality improvement collaborative. ASAIO J. 2020; 66: 441446.Google Scholar
Sammour, Y, Spertus, JA, Austin, BA, et al. Outpatient management of heart failure during the COVID-19 pandemic after adoption of a telehealth model. JACC Heart Fail. 2021; 9: 916924.Google Scholar
Umapathi, P, Cuomo, K, Riley, S, et al. Transforming ambulatory heart failure care in the coronavirus disease-19 era: initial experience from a heart failure disease management clinic. J Cardiac Fail. 2020; 26: 637638.Google Scholar
Desai, AS, Maclean, T, Blood, AJ, et al. Remote optimization of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction. JAMA Cardiol. 2020; 5: 14301434.Google Scholar
Driscoll, A, Currey, J, Tonkin, AM. Nurse-led titration of angiotensin-converting enzyme inhibitors, β-adrenergic blocking agents, and angiotensin receptor blockers in patients with heart failure with reduced ejection fraction. JAMA Cardiol. 2016; 1: 842843.Google Scholar