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Effectiveness and safety in remote monitoring of patients with pacemakers five years after an implant: The Poniente study

Permanent lenke
https://hdl.handle.net/10037/18945
DOI
https://doi.org/10.3390/ijerph17041431
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article.pdf (529.4Kb)
Publisert versjon (PDF)
Dato
2020-02-23
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
López-Liria, Remedios; López-Villegas, Antonio; Leal-Costa, César; Peiró, Salvador; Robles-Musso, Emilio; Bautista-Mesa, Rafael; Rocamora-Pérez, Patricia; Lappegård, Knut Tore; Catalán-Matamoros, Daniel
Sammendrag
Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs. This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity. After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001). Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time.
Forlag
MDPI
Sitering
López-Liria, López-Villegas, Leal-Costa, Peiró, Robles-Musso, Bautista-Mesa, Rocamora-Pérez, Lappegård, Catalán-Matamoros. Effectiveness and safety in remote monitoring of patients with pacemakers five years after an implant: The Poniente study. International Journal of Environmental Research and Public Health. 2020;17(4)
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  • Artikler, rapporter og annet (klinisk medisin) [1974]
Copyright 2020 The Author(s)

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