000161890 001__ 161890
000161890 005__ 20251017144629.0
000161890 0247_ $$2doi$$a10.1016/j.hroo.2025.04.004
000161890 0248_ $$2sideral$$a144537
000161890 037__ $$aART-2025-144537
000161890 041__ $$aeng
000161890 100__ $$aAlmeida, João G.
000161890 245__ $$aDigital monitoring and electronic patient-reported outcomes collection following atrial fibrillation ablation
000161890 260__ $$c2025
000161890 5060_ $$aAccess copy available to the general public$$fUnrestricted
000161890 5203_ $$aBackground. 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. Objective. This study aimed to assess the feasibility of a structured digital-blended follow-up for patients undergoing AF ablation, incorporating electronic patient-reported outcome measures (PROMs) while evaluating its impact on the timing of recurrence diagnosis and reintervention. Methods. In this retrospective observational study, we included patients enrolled in a structured 2-year digital program starting in January 2021. This featured a Web platform for physicians to record clinical variables and a patient-centered mobile application to report PROM (Atrial Fibrillation Effect on Quality-of-Life [AFEQT] and Patient-Reported Outcomes Measurement Information System [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 the patients used the application 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 < .05 for interactions). Digital follow-up was associated with a shorter time until atrial tachycardia or AF recurrence (hazard ratio 1.45, P = .019) and antiarrhythmic intervention (hazard ratio 1.65, P = .022). Conclusion. Systematic electronic PROM collection after AF ablation is feasible in clinical practice. Structured digital-blended integrated care guarantees continuity of AF management and supports earlier detection and treatment of recurrences
000161890 536__ $$9info:eu-repo/grantAgreement/ES/DGA/T39-23R$$9info:eu-repo/grantAgreement/ES/MICINN/PID2022-140556OB-I00
000161890 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000161890 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000161890 700__ $$aTeixeira, Rafael
000161890 700__ $$aNeves, Inês
000161890 700__ $$aCarrington, Mafalda
000161890 700__ $$aFonseca, Paulo
000161890 700__ $$aOliveira, Marco
000161890 700__ $$aGonçalves, Helena
000161890 700__ $$aPrimo, João
000161890 700__ $$aFontes-Carvalho, Ricardo
000161890 700__ $$aBarra, Sérgio
000161890 700__ $$0(orcid)0000-0002-7503-3339$$aMartínez, Juan Pablo$$uUniversidad de Zaragoza
000161890 700__ $$aAlmeida, Rute
000161890 7102_ $$15008$$2800$$aUniversidad de Zaragoza$$bDpto. Ingeniería Electrón.Com.$$cÁrea Teoría Señal y Comunicac.
000161890 773__ $$tHeart Rhythm O2$$x2666-5018
000161890 8564_ $$s896980$$uhttps://zaguan.unizar.es/record/161890/files/texto_completo.pdf$$yVersión publicada
000161890 8564_ $$s2711968$$uhttps://zaguan.unizar.es/record/161890/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000161890 909CO $$ooai:zaguan.unizar.es:161890$$particulos$$pdriver
000161890 951__ $$a2025-10-17-14:25:37
000161890 980__ $$aARTICLE