Cost savings and safety of ICD remote control by telephone: a prospective, observational study
We examined the costs and safety of follow-up of patients with an implantable cardioverter defibrillator (ICD). In a prospective study, a remote monitoring system was used to interrogate ICD devices via telephone. Twenty patients with an ICD were followed up conventionally (clinic visits) or remotel...
Guardado en:
| Autores principales: | , , , , |
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| Formato: | Article (Journal) |
| Lenguaje: | inglés |
| Publicado: |
October 2010
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| In: |
Journal of telemedicine and telecare
Year: 2010, Volumen: 16, Número: 7, Pages: 403-408 |
| ISSN: | 1758-1109 |
| Acceso en línea: |
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| Notas de Autor: | Olympia Bikou, Manuela Licka, Sven Kathoefer, Hugo A Katus, and Alexander Bauer |
| Sumario: | We examined the costs and safety of follow-up of patients with an implantable cardioverter defibrillator (ICD). In a prospective study, a remote monitoring system was used to interrogate ICD devices via telephone. Twenty patients with an ICD were followed up conventionally (clinic visits) or remotely at 1, 3 and 6 months after implantation of the ICD. A total of 30 transmissions of ICD data were made via the remote monitoring system. Five transmissions (17%) were interrupted, mainly due to a loss of telemetry, but no data were lost. The duration of the remote follow-up was 12.7 min less than follow-up in clinic (25.8 min, P < 0.05). Five of the remote follow-up transmissions concerned arrhythmia episodes. These lasted significantly longer than those without arrhythmia (16.6 vs. 4.9 min, P < 0.05). In three patients an unscheduled visit to the outpatient clinic was necessary. The cost of remote follow-up for 100 ICD patients/year was calculated to be €44,267, or about 16% of the cost of conventional in-clinic follow-up. |
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| Notas: | Online veröffentlicht: 24. September 2010 Gesehen am 01.02.2023 |
| Descripción Física: | Online Resource |
| ISSN: | 1758-1109 |