Associations of Home Monitoring Data to Interventional Catheterization for Infants with Recurrent Coarctation of the Aorta and Hypoplastic Left Heart Syndrome

This study aimed to investigate if caregiver-entered data resulted in earlie r identification of patients requiring interventional catheterization for RCoA. Retrospective home monitoring data were extracted from five high-volume Children’s High Acuity Monitoring Program®-affiliated centers (defined as contributing >  20 patients to the registry) between 2014 and 2021 after IRB approval. Demographics and caregiver-recorded data evaluated include weight, heart rate (HR), oxygen saturation (SpO2), video recordings, and ‘red flag’ concerns prior to interstage readmissions. 27% (44/161) of infants required interventional catheterization for RCoA. In the 7 days prior to readmission, associations with higher odds of RCoA included (mean bootstrap coefficient, [90% CI]) increased number of total recorded videos (1.6 5, [1.07–2.62]) and days of recorded video (1.62, [1.03–2.59]); increased number of total recorded weights (1.66, [1.09–2.70]) and days of weights (1.56, [1.02–2.44]); increasing mean SpO2 (1.55, [1.02 –2.44]); and increased variation and range of HR (1.59, [1.04–2.51]) and (1.71, [1.10–2.80]), respectively. Interstage patients with RCoA had increased caregiver-entered home monitoring data including weight and video recordings, as well as changes in HR and SpO2trends. Identifying these items by home monitoring teams may be beneficial in clinical decision-making for evaluation of RCoA in this high-risk population.
Source: Mammalian Genome - Category: Genetics & Stem Cells Source Type: research