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Remote monitoring of implantable cardioverter defibrillator patients: a safe, time-saving, and cost-effective means for follow-up.

Raatikainen MJ, Uusimaa P, van Ginneken MM, Janssen JP, Linnaluoto M - Europace (2008)

Bottom Line: Over 90% of the patients found the system easy to use.Substitution of two routine in-office visits during the study by remote monitoring reduced the overall cost of routine ICD follow-up by 524 euro per patient (41%).Remote monitoring offers a safe, feasible, time-saving, and cost-effective solution to ICD follow-up.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, University of Oulu, PO Box 5000, 90014 Oulu, Finland. pekka.raatikainen@oulu.fi

ABSTRACT

Aims: The purpose of this prospective study was to investigate whether internet-based remote monitoring offers a safe, practical, and cost-effective alternative to the in-office follow-up visits of patients with an implantable cardioverter defibrillator (ICD).

Methods and results: Forty-one patients (62 +/- 10 years, range 41-76, 83% male) with previously implanted ICD were followed for 9 months. One-hundred and nineteen scheduled and 18 unscheduled data transmissions were performed. There were no device-related adverse events. Over 90% of the patients found the system easy to use. Physicians reported the system as being 'very easy' or 'easy' to use and found the data comparable to traditional device interrogation in 99% of the cases. They were able to address all unscheduled data transmissions remotely. Compared with the in-office visits, remote monitoring required less time from patients (6.9 +/- 5.0 vs. 182 +/- 148 min, P < 0.001) and physicians (8.4 +/- 4.5 vs. 25.8 +/- 17.0 min, P < 0.001) to complete the follow-up. Substitution of two routine in-office visits during the study by remote monitoring reduced the overall cost of routine ICD follow-up by 524 euro per patient (41%).

Conclusion: Remote monitoring offers a safe, feasible, time-saving, and cost-effective solution to ICD follow-up.

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Related in: MedlinePlus

Physician satisfaction with the use of the system. Answers are represented at a scale from zero to four. Access to web data/Navigation CareLink website: 4 = very easy, 3 = easy, 2 = difficult, 1 = very difficult; overall satisfaction about CareLink monitor: 4 = very satisfied, 3 = satisfied, 2 = unsatisfied, 1 = very unsatisfied.
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EUN203F3: Physician satisfaction with the use of the system. Answers are represented at a scale from zero to four. Access to web data/Navigation CareLink website: 4 = very easy, 3 = easy, 2 = difficult, 1 = very difficult; overall satisfaction about CareLink monitor: 4 = very satisfied, 3 = satisfied, 2 = unsatisfied, 1 = very unsatisfied.

Mentions: Clinicians’ ease of use and satisfaction are depicted in Figure 3. As there were no statistically significant differences in the distribution of the clinicians replies at the various transmission times, the values in Figure 3 represent the data for all remote transmissions. Almost all transmissions (97%) were reported by the physicians as being ‘very easy’ or ‘easy’ to access on the website, while website navigation was always found to be ‘very easy’. Physicians were satisfied with the performance of the system and found the data comparable to traditional device interrogation in the majority of the cases. In 2 of 137 cases, the physicians felt that an in-office visit would have provided more detailed information of the device function, because it was not possible to measure the pacing threshold remotely.


Remote monitoring of implantable cardioverter defibrillator patients: a safe, time-saving, and cost-effective means for follow-up.

Raatikainen MJ, Uusimaa P, van Ginneken MM, Janssen JP, Linnaluoto M - Europace (2008)

Physician satisfaction with the use of the system. Answers are represented at a scale from zero to four. Access to web data/Navigation CareLink website: 4 = very easy, 3 = easy, 2 = difficult, 1 = very difficult; overall satisfaction about CareLink monitor: 4 = very satisfied, 3 = satisfied, 2 = unsatisfied, 1 = very unsatisfied.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2552405&req=5

EUN203F3: Physician satisfaction with the use of the system. Answers are represented at a scale from zero to four. Access to web data/Navigation CareLink website: 4 = very easy, 3 = easy, 2 = difficult, 1 = very difficult; overall satisfaction about CareLink monitor: 4 = very satisfied, 3 = satisfied, 2 = unsatisfied, 1 = very unsatisfied.
Mentions: Clinicians’ ease of use and satisfaction are depicted in Figure 3. As there were no statistically significant differences in the distribution of the clinicians replies at the various transmission times, the values in Figure 3 represent the data for all remote transmissions. Almost all transmissions (97%) were reported by the physicians as being ‘very easy’ or ‘easy’ to access on the website, while website navigation was always found to be ‘very easy’. Physicians were satisfied with the performance of the system and found the data comparable to traditional device interrogation in the majority of the cases. In 2 of 137 cases, the physicians felt that an in-office visit would have provided more detailed information of the device function, because it was not possible to measure the pacing threshold remotely.

Bottom Line: Over 90% of the patients found the system easy to use.Substitution of two routine in-office visits during the study by remote monitoring reduced the overall cost of routine ICD follow-up by 524 euro per patient (41%).Remote monitoring offers a safe, feasible, time-saving, and cost-effective solution to ICD follow-up.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, University of Oulu, PO Box 5000, 90014 Oulu, Finland. pekka.raatikainen@oulu.fi

ABSTRACT

Aims: The purpose of this prospective study was to investigate whether internet-based remote monitoring offers a safe, practical, and cost-effective alternative to the in-office follow-up visits of patients with an implantable cardioverter defibrillator (ICD).

Methods and results: Forty-one patients (62 +/- 10 years, range 41-76, 83% male) with previously implanted ICD were followed for 9 months. One-hundred and nineteen scheduled and 18 unscheduled data transmissions were performed. There were no device-related adverse events. Over 90% of the patients found the system easy to use. Physicians reported the system as being 'very easy' or 'easy' to use and found the data comparable to traditional device interrogation in 99% of the cases. They were able to address all unscheduled data transmissions remotely. Compared with the in-office visits, remote monitoring required less time from patients (6.9 +/- 5.0 vs. 182 +/- 148 min, P < 0.001) and physicians (8.4 +/- 4.5 vs. 25.8 +/- 17.0 min, P < 0.001) to complete the follow-up. Substitution of two routine in-office visits during the study by remote monitoring reduced the overall cost of routine ICD follow-up by 524 euro per patient (41%).

Conclusion: Remote monitoring offers a safe, feasible, time-saving, and cost-effective solution to ICD follow-up.

Show MeSH
Related in: MedlinePlus