afib Atrial fibrillation
Conditions
Interventions
Introduction of eHealth: home monitoring in combination with a Webcam consult
instead of regular follow-up on the outpatient clinic.
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patient undergoes cardiovascular surgery Patient is able to communicate in Dutch or English Patient has been referred by a cardiologist from the Leiden University Medical Center, Cardiological Center Voorschoten, Alrijne Hospital or Haaglanden Medical Center
Exclusion criteria
Exclusion criteria: Patient is under the age of 18 years Patient is pregnant Patient is considered an incapacitated adult Patient is unwilling to sign the informed consent form Patient undergoes emergency thoracic surgery (INTERMACS 1 or 2) Patient has active endocarditis at the time of operation Patient is on mechanical circulatory support before operation Patient has a ventricular septal rupture Patient undergoes extracorporeal membrane oxygenation or ventricular assist device insertion
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| - Time to atrial fibrillation - Diagnosis and time to cardiac decompensation - Diagnosis and time to sternal wound infection - Number of cardiology or thoracic surgery related, unplanned hospital visits - Quality of life: EQ-5D questionnaires - Score of patient satisfaction considering (e)Visits and The Box - Anxiety (CAQ), illness perceptions (BIPQ) and engagement (TWEETS) - Major Adverse Cardiac Events: cardiac death, myocardial infarction, cardiac tamponade, ischaemic stroke; or TIA, defined as a transient episode of neurological dysfunction lasting for less than 1h, caused by focal brain or retinal ischaemia without recent infarction on cerebral imaging.15 - Mortality rate - Re-admission rate to the cardiology or thoracic surgery ward - Blood pressure control, which is having a systolic blood pressure of | — |
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of the study will be the diagnosis of atrial fibrillation. | — |
Countries
Netherlands
Outcome results
None listed