{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T07:09:32Z","timestamp":1784358572340,"version":"3.55.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951124026295_as1\"><jats:title>Objective:<\/jats:title><jats:p>The COVID-19 pandemic presented unique challenges to global healthcare. Face-to-face outpatient care was dramatically reduced. This study implemented a remote consultation service via a mobile app (Pexip) to monitor patients with major CHD.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as2\"><jats:title>Design:<\/jats:title><jats:p>Study design was quasi-experimental and prospective.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as3\"><jats:title>Setting:<\/jats:title><jats:p>Remote consultations were carried out at a tertiary paediatric cardiology centre in Northern Ireland.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as4\"><jats:title>Patients:<\/jats:title><jats:p>Children with major CHD aged 0\u201316years in Northern Ireland.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as5\"><jats:title>Intervention:<\/jats:title><jats:p>The intervention was a Pexip-enabled remote consultation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as6\"><jats:title>Outcome measures:<\/jats:title><jats:p>Primary outcome measures included the number of attendances to hospital both initiated and avoided via remote consultation. Remote consultations were conducted by doctor and\/or cardiac specialist nurse or by specialist nurse alone (52% vs. 48%).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as7\"><jats:title>Results:<\/jats:title><jats:p>In the study, 32 patients enrolled; three were non-responders and a further two excluded. There were 201 remote consultations delivered (mean = 7.4). There were 12 admissions to hospital resulting from the remote consultation; the commonest indication was abnormal oxygen saturations (42%). There were 38 hospital attendances avoided, predominantly related to infant feeding and medication advice (both 42%).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124026295_as8\"><jats:title>Conclusions:<\/jats:title><jats:p>A significant number of unnecessary hospital attendances were avoided (<jats:italic>n<\/jats:italic> = 38). Remote consultation technology proved a user-friendly and valuable adjunct to the provision of ongoing specialist patient care in challenging circumstances. There was a reduction in parental anxiety, and both parents and clinicians found this initiative beneficial to patient care. There was prompt identification of unwell children on remote consultations.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951124026295","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:57:33Z","timestamp":1737964653000},"page":"235-241","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Experience of home monitoring of children with complex CHD during the COVID-19 pandemic: lessons learnt"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6289-3991","authenticated-orcid":false,"given":"Jonathan","family":"Gillender","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie E.M.","family":"McCullough","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosie","family":"Browne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlene","family":"Sinclair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"McCrossan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Casey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"S1047951124026295_ref4","doi-asserted-by":"publisher","DOI":"10.1258\/1357633054461606"},{"key":"S1047951124026295_ref24","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001571"},{"key":"S1047951124026295_ref17","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0845-0"},{"key":"S1047951124026295_ref15","unstructured":"15. Effective remote consultations [Internet]. 2020 [cited 2023 Jun 8]. Available from: https:\/\/www.rcplondon.ac.uk\/education-practice\/courses\/effective-remote-consultations"},{"key":"S1047951124026295_ref11","author":"Spielberger","year":"1983","journal-title":"State-Trait Anxiety Inventory for Adults"},{"key":"S1047951124026295_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121004364"},{"key":"S1047951124026295_ref22","first-page":"205520761984583","article-title":"Internet remote consultation for patient-clinician consultations in long-term conditions: a review of reviews and applications in line with guidelines and recommendations","volume":"5","author":"Ignatowicz","year":"2019","journal-title":"Digi Health"},{"key":"S1047951124026295_ref28","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-0531"},{"key":"S1047951124026295_ref20","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm.2020.04.188"},{"key":"S1047951124026295_ref25","doi-asserted-by":"publisher","DOI":"10.2196\/15847"},{"key":"S1047951124026295_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1195"},{"key":"S1047951124026295_ref19","article-title":"A cost analysis of a remote home support programme for infants with major congenital heart disease: evidence from a randomized controlled trial","volume":"04","author":"McCrossan","year":"2015","journal-title":"Intl J Cardiovasc Res"},{"key":"S1047951124026295_ref5","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.003012"},{"key":"S1047951124026295_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04223-4"},{"key":"S1047951124026295_ref27","doi-asserted-by":"publisher","DOI":"10.1080\/24694193.2017.1372532"},{"key":"S1047951124026295_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2018.01.004"},{"key":"S1047951124026295_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2020.04.023"},{"key":"S1047951124026295_ref12","unstructured":"12. Secure meetings with complete data control [Internet]. 2023 [cited 2023 Jun 8]. Available from: https:\/\/www.pexip.com\/secure-communications"},{"key":"S1047951124026295_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12308"},{"key":"S1047951124026295_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-302350"},{"key":"S1047951124026295_ref18","first-page":"38","article-title":"COVID-19 and telehealth, education, and research adaptations","volume":"35","author":"Wijesooriya","year":"2020","journal-title":"Paediatr Respirat Rev"},{"key":"S1047951124026295_ref2","unstructured":"2. Gordon, C. Monthly births [Internet] 2023 [cited 2023 May 29]. Available from: https:\/\/www.nisra.gov.uk\/publications\/monthly-births"},{"key":"S1047951124026295_ref21","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9.5.e37"},{"key":"S1047951124026295_ref29","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066963"},{"key":"S1047951124026295_ref16","unstructured":"16. Cooper, K. A virtual revolution [Internet]. British Medical Association. 2021 [cited 2023 Jun 8]. Volume April 2020; Pages 20\u201321. Available from: https:\/\/www.bma.org.uk\/news-and-opinion\/the-doctor-april-2020-issue-20"},{"key":"S1047951124026295_ref3","unstructured":"3. Nicor [Internet]. 2022 [cited 2023 Jun 8]. 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