Telemed J E Health - Clinical and economic impact of remote monitoring on the follow-up of patients with implantable electronic cardiovascular devices: an observational study.

Tópicos

{ patient(2837) hospit(1953) medic(668) }
{ time(1939) patient(1703) rate(768) }
{ monitor(1329) mobil(1314) devic(1160) }
{ system(1050) medic(1026) inform(1018) }
{ data(2317) use(1299) case(1017) }
{ cost(1906) reduc(1198) effect(832) }
{ survey(1388) particip(1329) question(1065) }
{ studi(2440) review(1878) systemat(933) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }
{ featur(3375) classif(2383) classifi(1994) }
{ design(1359) user(1324) use(1319) }
{ howev(809) still(633) remain(590) }
{ model(3480) simul(1196) paramet(876) }
{ sampl(1606) size(1419) use(1276) }
{ use(2086) technolog(871) perceiv(783) }
{ drug(1928) target(777) effect(648) }
{ inform(2794) health(2639) internet(1427) }
{ method(1219) similar(1157) match(930) }
{ care(1570) inform(1187) nurs(1089) }
{ model(2341) predict(2261) use(1141) }
{ record(1888) medic(1808) patient(1693) }
{ state(1844) use(1261) util(961) }
{ can(981) present(881) function(850) }
{ implement(1333) system(1263) develop(1122) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ risk(3053) factor(974) diseas(938) }
{ visual(1396) interact(850) tool(830) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Traditional follow-up of patients with cardiovascular devices is still an activity that, in addition to serving an increasing population, requires a considerable amount of time and specialized human and technical resources. Our aim was to evaluate the applicability of the CareLink(?) (Medtronic, Minneapolis, MN) remote monitoring system as a complementary option to the follow-up of patients with implanted devices, between in-office visits. Evaluated outcomes included both clinical (event detection and time to diagnosis) and nonclinical (patient's satisfaction and economic costs) aspects. An observational, longitudinal, prospective study was conducted with patients from a Portuguese central hospital sampled by convenience during 1 week (43 patients). Data were collected in four moments: two in-office visits and two remote evaluations, reproducing 1 year of clinical follow-up. Data sources included health records, implant reports, initial demographic data collection, follow-up printouts, and a questionnaire. After selection criteria were verified, 15 patients (11 men [73%]) were included, 63.4?10.8 years old, representing 14.0?6.3 implant months. Clinically, 15 events were detected (9 by remote monitoring and 6 by patient-initiated activation), of which only 9 were symptomatic. We verified that remote monitoring could detect both symptomatic and asymptomatic events, whereas patient-initiated activation only detected symptomatic ones (p=0.028). Moreover, the mean diagnosis anticipation in patients with events was approximately 58 days (p<0.001). In nonclinical terms, we observed high or very high satisfaction (67% and 33%, respectively) with using remote monitoring technology, but still 8 patients (53%) stated they preferred in-office visits. Finally, the introduction of remote monitoring technology has the ability to reduce total follow-up costs for patients by 25%. We conclude that the use of this system constitutes a viable complementary option to the follow-up of patients with implantable devices, between in-office visits.

Resumo Limpo

tradit followup patient cardiovascular devic still activ addit serv increas popul requir consider amount time special human technic resourc aim evalu applic carelink medtron minneapoli mn remot monitor system complementari option followup patient implant devic inoffic visit evalu outcom includ clinic event detect time diagnosi nonclin patient satisfact econom cost aspect observ longitudin prospect studi conduct patient portugues central hospit sampl conveni week patient data collect four moment two inoffic visit two remot evalu reproduc year clinic followup data sourc includ health record implant report initi demograph data collect followup printout questionnair select criteria verifi patient men includ year old repres implant month clinic event detect remot monitor patientiniti activ symptomat verifi remot monitor detect symptomat asymptomat event wherea patientiniti activ detect symptomat one p moreov mean diagnosi anticip patient event approxim day p nonclin term observ high high satisfact respect use remot monitor technolog still patient state prefer inoffic visit final introduct remot monitor technolog abil reduc total followup cost patient conclud use system constitut viabl complementari option followup patient implant devic inoffic visit

Resumos Similares

J. Med. Internet Res. - Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease. ( 0,764890924721692 )
Telemed J E Health - Emergency department physician telemedical triage. ( 0,757699445785002 )
Int J Med Inform - Prospective pilot study of a tablet computer in an Emergency Department. ( 0,738140705688915 )
Int J Med Inform - Effects of a short text message reminder system on emergency department length of stay. ( 0,722407100894313 )
J Am Med Inform Assoc - Patient reported barriers to enrolling in a patient portal. ( 0,713701645844148 )
Int J Med Inform - Effects of electronic medical record in a Chinese hospital: a time series study. ( 0,708903617368212 )
Int J Med Inform - The feasibility of an automated monitoring system to improve nurses' hand hygiene. ( 0,706018103738168 )
J. Med. Internet Res. - Online social network use by health care providers in a high traffic patient care environment. ( 0,701857456204714 )
J Telemed Telecare - A longitudinal study of health service utilization for diabetes patients in a care coordination home-telehealth programme. ( 0,700276432845866 )
BMC Med Inform Decis Mak - Relationship between the population incidence of pertussis in children in New South Wales, Australia and emergency department visits with cough: a time series analysis. ( 0,685747396397752 )
BMC Med Inform Decis Mak - Real-time automatic hospital-wide surveillance of nosocomial infections and outbreaks in a large Chinese tertiary hospital. ( 0,677429911172705 )
J Telemed Telecare - Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. ( 0,674929055892022 )
Healthc (Amst) - Post-acute referral patterns for hospitals and implications for bundled payment initiatives. ( 0,673272360949056 )
Telemed J E Health - Reduced cost and mortality using home telehealth to promote self-management of complex chronic conditions: a retrospective matched cohort study of 4,999 veteran patients. ( 0,672590716061216 )
J Telemed Telecare - User engagement with and attitudes towards an interactive SMS reminder system for patients with tuberculosis. ( 0,666370244379868 )
J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,666298602903173 )
J. Med. Internet Res. - Clinical outcome and cost-effectiveness of a synchronous telehealth service for seniors and nonseniors with cardiovascular diseases: quasi-experimental study. ( 0,666008446261066 )
J Telemed Telecare - A pilot study of tele-anaesthesia by virtual private network between an island hospital and a mainland hospital in Japan. ( 0,665907127785574 )
Int J Med Inform - The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit. ( 0,65910099684933 )
Int J Med Robot - Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases. ( 0,658261479416785 )
J Telemed Telecare - A pilot trial of telemedicine-assisted, integrated care for patients with advanced amyotrophic lateral sclerosis and their caregivers. ( 0,655219094412944 )
Telemed J E Health - mCare: using secure mobile technology to support soldier reintegration and rehabilitation. ( 0,651605299987159 )
Telemed J E Health - Home-based preventative care in high-risk dialysis patients: a pilot study. ( 0,649114234594785 )
AMIA Annu Symp Proc - Priority queuing models for hospital intensive care units and impacts to severe case patients. ( 0,648786068020916 )
BMC Med Inform Decis Mak - A predictive model for the early identification of patients at risk for a prolonged intensive care unit length of stay. ( 0,64575553879794 )
J Telemed Telecare - Telemedicine improves the monitoring process in anticoagulant treatment. ( 0,637347587716645 )
Telemed J E Health - Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction? ( 0,634483889952041 )
J Telemed Telecare - The effect of real-time teleconsultations between hospital-based nurses and patients with severe COPD discharged after an exacerbation. ( 0,628549100689118 )
J. Med. Internet Res. - Daily collection of self-reporting sleep disturbance data via a smartphone app in breast cancer patients receiving chemotherapy: a feasibility study. ( 0,627568932470977 )
Telemed J E Health - Telephotography in trauma: a 2-year clinical experience. ( 0,62072651374796 )
J Telemed Telecare - Systematic review of studies on telemonitoring of patients with congestive heart failure: a meta-analysis. ( 0,62065234798426 )
J Am Med Inform Assoc - Automated detection of physiologic deterioration in hospitalized patients. ( 0,615583115948387 )
J Med Syst - Migration of patients between five urban teaching hospitals in Chicago. ( 0,613687259196811 )
J Med Syst - The effect of electronic medical record application on the length of stay in a Chinese general hospital: a department- and disease-focused interrupted time-series study. ( 0,61323203607759 )
Telemed J E Health - Challenges in implementing a pediatric cardiovascular home telehealth project. ( 0,612936528113561 )
J Telemed Telecare - Telemedicine in vascular surgery: clinical experience in a single centre. ( 0,612295678258899 )
J. Med. Internet Res. - Long-term doctor-patient relationships: patient perspective from online reviews. ( 0,604605073087748 )
Appl Clin Inform - Patient no-show predictive model development using multiple data sources for an effective overbooking approach. ( 0,601730540284731 )
J Telemed Telecare - Home-based telemanagement in chronic heart failure: an 8-year single-site experience. ( 0,597947559115007 )
BMC Med Inform Decis Mak - A flexible simulation platform to quantify and manage emergency department crowding. ( 0,597555900596473 )
J Med Syst - Developing an active emergency medical service system based on WiMAX technology. ( 0,597226498911925 )
Int J Med Inform - Use of web-based patient education sessions on psychiatric wards. ( 0,59447275658318 )
AMIA Annu Symp Proc - A clinical decision tool for predicting patient care characteristics: patients returning within 72 hours in the emergency department. ( 0,59432489087878 )
J Med Syst - A novel medium access control protocol with low delay and traffic adaptivity for wireless body area networks. ( 0,591785670371119 )
J Med Syst - Performance evaluation of medical records departments by analytical hierarchy process (AHP) approach in the selected hospitals in Isfahan : medical records dep. & AHP. ( 0,589585619427674 )
J. Med. Internet Res. - A web-based computerized adaptive testing (CAT) to assess patient perception in hospitalization. ( 0,589339016857349 )
Telemed J E Health - Improved access and cycle time with an in-house patient-centered teleglaucoma program versus traditional in-person assessment. ( 0,589092061956583 )
Telemed J E Health - The neurosurgical telecounseling network in the Veneto Region: 4 years of experience of HEALTH OPTIMUM. ( 0,588340844738074 )
J Telemed Telecare - Meta-analysis and meta-regression of telehealth programmes for patients with chronic heart failure. ( 0,588193443649096 )
J. Med. Internet Res. - Supervised patient self-testing of warfarin therapy using an online system. ( 0,585867505962169 )
BMC Med Inform Decis Mak - Hidden in plain sight: bias towards sick patients when sampling patients with sufficient electronic health record data for research. ( 0,585079283614759 )
BMC Med Inform Decis Mak - Method for Assigning Priority Levels in Acute Care (MAPLe-AC) predicts outcomes of acute hospital care of older persons--a cross-national validation. ( 0,584658563829147 )
BMC Med Inform Decis Mak - Patient access to complex chronic disease records on the Internet. ( 0,584563529802553 )
J Telemed Telecare - Home telemental health implementation and outcomes using electronic messaging. ( 0,584272925556418 )
Comput Methods Programs Biomed - Manual nurse messaging with patient information using a mobile whiteboard system. ( 0,583579080323439 )
BMC Med Inform Decis Mak - Detecting and diagnosing hotspots for the enhanced management of hospital Emergency Departments in Queensland, Australia. ( 0,583190391628821 )
Telemed J E Health - The use of a camera-enabled mobile phone to triage patients with nasal bone injuries. ( 0,582039350644118 )
Telemed J E Health - Application of a smartphone nurse call system for nursing care. ( 0,581981353985535 )
J Clin Monit Comput - Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study. ( 0,580682876246183 )
J Telemed Telecare - An international pilot study of asynchronous teleconsultation for oropharyngeal dysphagia. ( 0,580461598575851 )
J Med Syst - An authentication scheme to healthcare security under wireless sensor networks. ( 0,580392377610903 )
Comput Methods Programs Biomed - Impact of glucocorticoids on insulin resistance in the critically ill. ( 0,579727165883848 )
J Med Syst - A low-cost reader for automatically collecting vital signs in hospitals. ( 0,578939912320411 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,578458970735748 )
Appl Clin Inform - Information technology improves Emergency Department patient discharge instructions completeness and performance on a national quality measure: a quasi-experimental study. ( 0,576450616441391 )
AMIA Annu Symp Proc - Does access modality matter? Evaluation of validity in reusing clinical care data. ( 0,576244092119654 )
J Med Syst - Is computerized physician order entry use associated with a decrease in hospital resource utilization in hospitals that care for children? ( 0,575489890228794 )
J Telemed Telecare - Use of telemedicine in subjects with type 1 diabetes equipped with an insulin pump and real-time continuous glucose monitoring. ( 0,575047906842004 )
Appl Clin Inform - Healthcare Information Systems to Assess Influenza Outbreaks: An analysis of the 2009 H1N1 Epidemic in Buenos Aires. ( 0,573348582734121 )
J Telemed Telecare - Electronic follow-up of facial lacerations in the emergency department. ( 0,57294420699725 )
J Med Syst - A mobile agent approach for secure integrated medical information systems. ( 0,572690548708376 )
J Clin Monit Comput - FaceTime(?) for teaching ultrasound-guided anesthetic procedures in remote place. ( 0,572441711235361 )
Int J Med Inform - Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: a randomized clinical trial. ( 0,572242177734505 )
Telemed J E Health - Development of a telehealthcare decision support system for patients discharged from the hospital. ( 0,571879647837428 )
AMIA Annu Symp Proc - A tablet computer application for patients to participate in their hospital care. ( 0,571150949994513 )
BMC Med Inform Decis Mak - Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: a before-after study. ( 0,571080951728878 )
AMIA Annu Symp Proc - Effectiveness of Evidence-Based Congestive Heart Failure (CHF) CPOE Order Sets Measured by Health Outcomes. ( 0,570499220964472 )
J Am Med Inform Assoc - Enrollment into a time sensitive clinical study in the critical care setting: results from computerized septic shock sniffer implementation. ( 0,570306237688549 )
AMIA Annu Symp Proc - Sustaining compliance with pediatric asthma inpatient quality measures. ( 0,569549240774551 )
J Telemed Telecare - A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care. ( 0,569351718754566 )
Healthc (Amst) - Opening the ICU doors. ( 0,568968640937548 )
Healthc (Amst) - Contributors to variation in hospital spending for critically ill patients with sepsis. ( 0,568497658482888 )
Telemed J E Health - The impact of remote patient monitoring (telehealth) upon Medicare beneficiaries with heart failure. ( 0,566957015867559 )
J Biomed Inform - Outpatient physician billing data for age and setting specific syndromic surveillance of influenza-like illnesses. ( 0,566133371212251 )
J Telemed Telecare - Identification of determinants for weight reduction in overweight and obese children and adolescents. ( 0,56600601820158 )
J Telemed Telecare - Telemedicine-supported insulin optimisation in primary care. ( 0,564493361251111 )
J Clin Monit Comput - The implementation of an Intensive Care Information System allows shortening the ICU length of stay. ( 0,563111225964132 )
IEEE J Biomed Health Inform - A pervasive health system integrating patient monitoring, status logging and social sharing. ( 0,562419843827756 )
J Telemed Telecare - A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD. ( 0,561870599374644 )
J Am Med Inform Assoc - Engaging patients in medication reconciliation via a patient portal following hospital discharge. ( 0,560992424638934 )
Comput. Biol. Med. - Using HL7 in hospital staff assignments. ( 0,560889579352622 )
Telemed J E Health - ATA practice guidelines for video-based online mental health services. ( 0,560836106619372 )
Int J Med Robot - Totally robotic right colectomy: a preliminary case series and an overview of the literature. ( 0,560259955710522 )
J Clin Monit Comput - Intraoperative ICG plasma disappearance rate helps to predict absence of early postoperative complications after orthotopic liver transplantation. ( 0,559657392462288 )
J Med Syst - Emergency access authorization for personally controlled online health care data. ( 0,558581560712827 )
Med Decis Making - Factors relating to patient visit time with a physician. ( 0,557465609193885 )
Med Decis Making - Estimating the cost of no-shows and evaluating the effects of mitigation strategies. ( 0,556083048956225 )
J Biomed Inform - Monitoring Obstructive Sleep Apnea by means of a real-time mobile system based on the automatic extraction of sets of rules through Differential Evolution. ( 0,556002913220464 )
J Clin Monit Comput - Ultrasound-guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches? ( 0,552899782081399 )
Telemed J E Health - Robotic telepresence versus standardly supervised stroke alert team assessments. ( 0,552765820652782 )