| Cost savings and safety of ICD remote control by telephone: a prospective, observational study. | |
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MedLine Citation:
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PMID: 20870684 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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Olympia Bikou; Manuela Licka; Sven Kathoefer; Hugo A Katus; Alexander Bauer |
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Publication Detail:
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Type: Journal Article Date: 2010-09-24 |
Journal Detail:
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Title: Journal of telemedicine and telecare Volume: 16 ISSN: 1758-1109 ISO Abbreviation: J Telemed Telecare Publication Date: 2010 |
Date Detail:
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Created Date: 2010-10-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9506702 Medline TA: J Telemed Telecare Country: England |
Other Details:
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Languages: eng Pagination: 403-8 Citation Subset: IM |
Affiliation:
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Department of Cardiology, University of Heidelberg, Heidelberg, Germany. Olympia.Bikou@med.uni-heidelberg.de |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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