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...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
October 2010
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| In: |
Journal of telemedicine and telecare
Year: 2010, Volume: 16, Issue: 7, Pages: 403-408 |
| ISSN: | 1758-1109 |
| Online Access: |
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| Author Notes: | Olympia Bikou, Manuela Licka, Sven Kathoefer, Hugo A Katus, and Alexander Bauer |
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| 245 | 1 | 0 | |a Cost savings and safety of ICD remote control by telephone |b a prospective, observational study |c Olympia Bikou, Manuela Licka, Sven Kathoefer, Hugo A Katus, and Alexander Bauer |
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| 520 | |a 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. | ||
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Cost-Benefit Analysis | |
| 650 | 4 | |a Defibrillators, Implantable | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Health Care Costs | |
| 650 | 4 | |a Home Care Services | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Middle Aged | |
| 650 | 4 | |a Prospective Studies | |
| 650 | 4 | |a Telemetry | |
| 650 | 4 | |a Telephone | |
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