Document Detail


Cost savings and safety of ICD remote control by telephone: a prospective, observational study.
MedLine Citation:
PMID:  20870684     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We examined the costs and safety of follow-up of patients with an implantable cardioverter defibrillator (ICD). In a prospective study, a remote monitoring system was used to interrogate ICD devices via telephone. Twenty patients with an ICD were followed up conventionally (clinic visits) or remotely at 1, 3 and 6 months after implantation of the ICD. A total of 30 transmissions of ICD data were made via the remote monitoring system. Five transmissions (17%) were interrupted, mainly due to a loss of telemetry, but no data were lost. The duration of the remote follow-up was 12.7 min less than follow-up in clinic (25.8 min, P < 0.05). Five of the remote follow-up transmissions concerned arrhythmia episodes. These lasted significantly longer than those without arrhythmia (16.6 vs. 4.9 min, P < 0.05). In three patients an unscheduled visit to the outpatient clinic was necessary. The cost of remote follow-up for 100 ICD patients/year was calculated to be €44,267, or about 16% of the cost of conventional in-clinic follow-up.
Authors:
Olympia Bikou; Manuela Licka; Sven Kathoefer; Hugo A Katus; Alexander Bauer
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Publication Detail:
Type:  Journal Article     Date:  2010-09-24
Journal Detail:
Title:  Journal of telemedicine and telecare     Volume:  16     ISSN:  1758-1109     ISO Abbreviation:  J Telemed Telecare     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506702     Medline TA:  J Telemed Telecare     Country:  England    
Other Details:
Languages:  eng     Pagination:  403-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University of Heidelberg, Heidelberg, Germany. Olympia.Bikou@med.uni-heidelberg.de
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