Publications by authors named "Thomas Rotering"

Article Synopsis
  • Researchers aimed to integrate a predictive algorithm using data from cardiovascular implantable electronic devices (CIEDs) to assess the risk of heart failure hospitalization (HFH) within 30 days in patients.
  • They monitored 358 patients over a 90-day period, identifying that 20% were at high risk based on remote CIED transmissions, with clinicians following up and assessing symptoms.
  • The findings showed that clinicians successfully contacted nearly all high-risk patients, with over two-thirds receiving medical interventions, indicating promise for enhancing heart failure management; however, further randomized trials are necessary to evaluate the effectiveness of these interventions.
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Background: Remote monitoring (RM) of pacemakers and implantable cardioverter-defibrillators (ICDs) is a Class 1, Level of Evidence A recommendation because of its multitude of clinical benefits. However, RM adherence rates are suboptimal, precluding patients from achieving these benefits. There is a need for direct-to-patient efforts to improve adherence.

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Article Synopsis
  • Remote monitoring (RM) of CIED patients is endorsed by the Heart Rhythm Society, but adherence to RM practices varies significantly among different facilities.
  • A study involving 27 healthcare providers across 26 VHA facilities identified key strategies for improving RM adherence, highlighting the importance of patient education and structured communication.
  • High-performing facilities used tools like dashboards and had clear operating procedures, demonstrating that active management and consistent support doubled the time clinicians spent on RM adherence compared to lower-performing facilities.
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Background: The cannabis industry has been described using the commercial determinants of health framework because it seeks to increase sales and profits through efforts to change the political environment. To increase understanding of these cannabis industry's efforts, this study describes cannabis industry campaign contributions in Colorado through an analysis of public records.

Methods: We reviewed datasets posted online at the Colorado Secretary of State's Transparent in Contribution and Expenditure Reporting (TRACER) Campaign Finance System.

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Background: The cannabis industry has an interest in creating a regulatory environment which maximizes profits at the cost of public health, similar to the tobacco, alcohol, and food industries. This study sought to describe the cannabis industry's lobbying activities in the Colorado State Legislature over time.

Methods: This retrospective observational study analyzed publicly available lobbying expenditures data from fiscal years (FY) 2010-2021.

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Introduction: Secondhand cannabis smoke, like secondhand tobacco smoke, creates unhealthy indoor air quality. Ventilation and engineering techniques cannot reduce this pollution to healthy levels, and complete smoke-free policies are the only way to provide healthy indoor environments. Even so, multiple state and local governments have begun to allow indoor smoking of cannabis in businesses.

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