J Telemed Telecare - Cost savings and safety of ICD remote control by telephone: a prospective, observational study.

Tópicos

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Resumo

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.

Resumo Limpo

examin cost safeti followup patient implant cardiovert defibril icd prospect studi remot monitor system use interrog icd devic via telephon twenti patient icd follow convent clinic visit remot month implant icd total transmiss icd data made via remot monitor system five transmiss interrupt main due loss telemetri data lost durat remot followup min less followup clinic min p five remot followup transmiss concern arrhythmia episod last signific longer without arrhythmia vs min p three patient unschedul visit outpati clinic necessari cost remot followup icd patientsyear calcul cost convent inclin followup

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