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Role of wearable rhythm recordings in clinical decision making-The wEHRAbles project.

ABSTRACT: BACKGROUND:Multiple wearable devices for rhythm analysis have been developed using either photoplethysmography (PPG) or handheld ECG. HYPOTHESIS:The aim of this survey was to assess impact of these technologies on physicians' clinical decision-making regarding initiation of diagnostic steps, drug therapy, and invasive strategies. METHODS:The online survey included 10 questions on types of devices, advantages, and disadvantages of wearable devices as well as case scenarios for patients with supraventricular arrhythmias and atrial fibrillation (AF). RESULTS:A total of 417 physicians (median age 37 [IQR 32-43] years) from 42 countries world-wide completed the survey. When presented a tracing of a regular tachycardia by a symptomatic patient, most participants would trigger further diagnostic steps (90% for single-lead ECG vs 83% for PPG, P

SUBMITTER: Manninger M

PROVIDER: S-EPMC7462183 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Role of wearable rhythm recordings in clinical decision making-The wEHRAbles project.

Manninger Martin M Kosiuk Jedrzej J Zweiker David D Njeim Mario M Antolic Bor B Kircanski Bratislav B Larsen Jacob M JM Svennberg Emma E Vanduynhoven Philippe P Duncker David D

Clinical cardiology 20200722 9

<h4>Background</h4>Multiple wearable devices for rhythm analysis have been developed using either photoplethysmography (PPG) or handheld ECG.<h4>Hypothesis</h4>The aim of this survey was to assess impact of these technologies on physicians' clinical decision-making regarding initiation of diagnostic steps, drug therapy, and invasive strategies.<h4>Methods</h4>The online survey included 10 questions on types of devices, advantages, and disadvantages of wearable devices as well as case scenarios f ...[more]

PMID: 32700414

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Project description:BackgroundThe UN Convention on the Rights of Persons with Disabilities, and the reformed guardianship law in Germany, require that persons with a disability, including people with dementia in Alzheimer's disease (PwAD), are supported in making self-determined decisions. This support is achieved through communication. While content-related communication is a deficit of PwAD, relational aspects of communication are a resource. Research in supported decision-making (SDM) has investigated the effectiveness of different content-related support strategies for PwAD but has only succeeded in improving understanding, which, although one criterion of capacity to consent, is not sufficient to ensure overall capacity to consent. The aim of the 'spatial intervention study' of the DECIDE project is to examine an innovative resource-oriented SDM approach that focuses on relational aspects. We hypothesise that talking to PwAD in their familiar home setting (as opposed to a clinical setting) will reduce the complexity of the decision-making process and enhance overall capacity to consent.MethodsPeople with a suspected or confirmed diagnosis of dementia in Alzheimer's disease will be recruited from two memory clinics (N = 80). We will use a randomised crossover design to investigate the intervention effect of the decision-making place on capacity to consent. Besides reasoning capacity, which is part of overall capacity to consent and will be the primary outcome, various secondary outcomes (e.g., other aspects of capacity to consent, subjective task complexity, decisional conflict) and suspected moderating or mediating variables (e.g., meaning of home, demographic characteristics) will be assessed.DiscussionThe results of the study will be used to develop a new SDM strategy that is based on relational resources for PwAD. If a change in location achieves the anticipated improvement in capacity to consent, future research should focus on implementing this SDM strategy in a cost-effective manner in clinical practice.Trial registrationDRKS00030799 .

Dataset Information

Role of wearable rhythm recordings in clinical decision making-The wEHRAbles project.

Publications

Role of wearable rhythm recordings in clinical decision making-The wEHRAbles project.

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