Large Controlled Observational Study on Remote Monitoring of Pacemakers and Implantable Cardiac Defibrillators: A Clinical, Economic, and Organizational Evaluation
| العنوان: | Large Controlled Observational Study on Remote Monitoring of Pacemakers and Implantable Cardiac Defibrillators: A Clinical, Economic, and Organizational Evaluation |
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| المؤلفون: | Lorenzo Gubian, Silvia Mancin, Glauco Brandolino, Pietro Delise, Claudio Saccavini, Claudio Dario |
| المصدر: | Interactive Journal of Medical Research, Vol 5, Iss 1, p e4 (2016) Interactive Journal of Medical Research |
| بيانات النشر: | JMIR Publications Inc., 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatrics, medicine.medical_treatment, Computer applications to medicine. Medical informatics, R858-859.7, Context (language use), 030204 cardiovascular system & hematology, Cardiac pacemaker, 03 medical and health sciences, 0302 clinical medicine, Health care, Medical technology, Medicine, Economic analysis, 030212 general & internal medicine, R855-855.5, Prospective cohort study, Original Paper, business.industry, Clinical events, Emergency department, implantable cardiac defibrillator, healthcare economics and organization, Emergency medicine, telehealth and telemonitoring, Observational study, business, cardiac pacemaker |
| الوصف: | Background: Patients with implantable devices such as pacemakers (PMs) and implantable cardiac defibrillators (ICDs) should be followed up every 3–12 months, which traditionally required in-clinic visits. Innovative devices allow data transmission and technical or medical alerts to be sent from the patient's home to the physician (remote monitoring). A number of studies have shown its effectiveness in timely detection and management of both clinical and technical events, and endorsed its adoption. Unfortunately, in daily practice, remote monitoring has been implemented in uncoordinated and rather fragmented ways, calling for a more strategic approach. Objective: The objective of the study was to analyze the impact of remote monitoring for PM and ICD in a “real world” context compared with in-clinic follow-up. The evaluation focuses on how this service is carried out by Local Health Authorities, the impact on the cardiology unit and the health system, and organizational features promoting or hindering its effectiveness and efficiency. Methods: A multi-center, multi-vendor, controlled, observational, prospective study was conducted to analyze the impact of remote monitoring implementation. A total of 2101 patients were enrolled in the study: 1871 patients were followed through remote monitoring of PM/ICD (I-group) and 230 through in-clinic visits (U-group). The follow-up period was 12 months. Results: In-clinic device follow-ups and cardiac visits were significantly lower in the I-group compared with the U-group, respectively: PM, I-group = 0.43, U-group = 1.07, P |
| تدمد: | 1929-073X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8232d8ad4f6d08023a719e1c6031deadTest https://doi.org/10.2196/ijmr.4270Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8232d8ad4f6d08023a719e1c6031dead |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1929073X |
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