Physical activity, patient-reported symptoms, and clinical events: Insights into postprocedural recovery from personal digital devices

Personal digital devices may offer insights into patient recovery and an approach for remote monitoring after procedures. To examine associations between activity measured using personal digital devices, patient-reported outcome measures (PROMs), and clinical events among patients after catheter abl...

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Bibliographic Details
Published in:Cardiovascular digital health journal 2021-08, Vol.2 (4), p.212-221
Main Authors: Bartlett, Victoria L., Ross, Joseph S., Shah, Nilay D., Ciaccio, Laura, Akar, Joseph G., Noseworthy, Peter A., Dhruva, Sanket S.
Format: Article
Language:English
Subjects:
Ablation
Activity
Atrial fibrillation
Bariatric surgery
Clinical
Digital health
Patient-reported outcomes
Postprocedural recovery
Remote monitoring
Wearable devices
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Summary:Personal digital devices may offer insights into patient recovery and an approach for remote monitoring after procedures. To examine associations between activity measured using personal digital devices, patient-reported outcome measures (PROMs), and clinical events among patients after catheter ablation for atrial fibrillation (AF) or bariatric surgery. We aggregated personal digital device, PROM, and electronic health record data in a study conducted at 2 health systems. We used Fitbit devices for step count assessments, KardiaMobile for cardiac rhythm assessments, and PROMs for pain and palpitations over 5 weeks. Among 59 patients, 30 underwent AF ablation and 29 bariatric surgery. Thirty-six patients (63%) reported pain. There was no difference in median [interquartile range] daily steps between patients with and those without pain (4419 [3286–7041] vs 3498 [2609–5888]; P = .23). Among AF ablation patients, 21 (70%) reported palpitations. Median daily steps were lower among those with palpitations than among those without (4668 [3021–6116] vs 8040 [6853–10,394]; P = .03). When accounting for within-subject correlation, recordings of AF were associated with a significant mean decrease in median daily steps (–351; 95% confidence interval –524 to –177; P
ISSN:2666-6936
2666-6936
DOI:10.1016/j.cvdhj.2021.06.002