Remote Monitoring for Implantable Defibrillators: A Nationwide Survey in Italy

Autor: Luzi, Mario, De Simone, Antonio, Leoni, Loira, Amellone, Claudia, Pisanò, Ennio, Favale, Stefano, Iacoviello, Massimo, Luise, Raffaele, Bongiorni, Maria Grazia, Stabile, Giuseppe, La Rocca, Vincenzo, Folino, Franco, Capucci, Alessandro, D'Onofrio, Antonio, Accardi, Francesco, Valsecchi, Sergio, Buia, Gianfranco
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Interactive Journal of Medical Research, Vol 2, Iss 2, p e27 (2013)
Druh dokumentu: article
ISSN: 1929-073X
DOI: 10.2196/ijmr.2824
Popis: BackgroundRemote monitoring (RM) permits home interrogation of implantable cardioverter defibrillator (ICD) and provides an alternative option to frequent in-person visits. ObjectiveThe Italia-RM survey aimed to investigate the current practice of ICD follow-up in Italy and to evaluate the adoption and routine use of RM. MethodsAn ad hoc questionnaire on RM adoption and resource use during in-clinic and remote follow-up sessions was completed in 206 Italian implanting centers. ResultsThe frequency of routine in-clinic ICD visits was 2 per year in 158/206 (76.7%) centers, 3 per year in 37/206 (18.0%) centers, and 4 per year in 10/206 (4.9%) centers. Follow-up examinations were performed by a cardiologist in 203/206 (98.5%) centers, and by more than one health care worker in 184/206 (89.3%) centers. There were 137/206 (66.5%) responding centers that had already adopted an RM system, the proportion of ICD patients remotely monitored being 15% for single- and dual-chamber ICD and 20% for cardiac resynchronization therapy ICD. Remote ICD interrogations were scheduled every 3 months, and were performed by a cardiologist in 124/137 (90.5%) centers. After the adoption of RM, the mean time between in-clinic visits increased from 5 (SD 1) to 8 (SD 3) months (P
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje