| Autor: |
Mário Oliveira, Milene Fernandes, Hipólito Reis, João Primo, Victor Sanfins, Vânia Silva, Pedro Silva Cunha, Mónica Silva, Paulo J. Nicola |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Revista Portuguesa de Cardiologia, Vol 41, Iss 12, Pp 987-997 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
0870-2551 |
| DOI: |
10.1016/j.repc.2021.08.017 |
| Popis: |
Introduction: Remote monitoring (RM) is a safe and effective alternative to in-office conventional follow-up. Objective: We aimed to evaluate patient satisfaction with RM and its impact on healthcare resources in a population with cardiac implantable electronic devices. Methods: Randomized, pragmatic, open-label controlled trial, with adult wearers of implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy with ICD (CRT-D), eligible for the CareLink® system. Patients newly implanted or with previous conventional follow-up were randomized to RM or conventional follow-up (control), and followed for 12 months, according to the centers’ practice. The number of in-office visits and adverse events were compared between groups. Patient and healthcare professionals’ satisfaction with RM were described. Results: Of the 134 randomized patients (69 RM; 65 control, aged 60±13 years), 80% were male, 23% employed, 72% ICD wearers and 54% newly implanted. Most patients (70%) reported travel costs less than 15€/visit, and 46% daily routine interference with in-office visits. Median physician/technician time with patient was 15 min/15 min, per in-office visit. Excluding baseline and final visits, control patients had more in-office visits in total: median 1 vs. 0, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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