Document Detail

A semi-automatic algorithm for reducing the time spent on routine follow-up of cardioverter defibrillators.
MedLine Citation:
PMID:  11314807     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The routine follow-up of cardioverter defibrillators (CD) is a time-consuming procedure. AIM of the STUDY and METHODS: The present study was a prospective randomized cross-over evaluation on the clinical usefulness of a specific semi-automatic software algorithm (Quick Check) for CD follow-up, available in CPI Guidant systems (CD and programmer). Time-saving, while ensuring all the required data and patient safety, was evaluated in a large group of patients (105), recruited in different centers. In the same session and under a physician's supervision all patients underwent a follow-up with the aid of Quick Check or a standard follow-up, in a randomized sequence. Each patient served as his own control. RESULTS: In the overall population of 105 patients, the time spent for follow-up was reduced by Quick Check from 186+/-105 sec to 106+/-67 sec (p<0.0001) (43% reduction). The reduction in time spent for follow-up with Quick Check was the same (43% reduction) in patients with detected episodes (n=38) (from 241+/-144 sec to 138+/-95 sec (p<0.0001)) and in patients without detected episodes (n=67) (from 154+/-52 sec to 88+/-34 sec (p<0. 0001)). No adverse events or deletion of potentially useful data was detected by the supervising physician. CONCLUSIONS: Use of a specific software algorithm for routine follow-up of implanted CDs allows a significant shortening of the time spent on routine follow-up, thus reducing costs. The supervision of a physician is a guarantee of patient safety.
G Boriani; M Biffi; R Renzi; F Capestro; A Pierantozzi; E Sgarbi; S Scarfó; P Alboni; L Migani; L Sallusti; L Frabetti; A Branzi
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  The International journal of artificial organs     Volume:  24     ISSN:  0391-3988     ISO Abbreviation:  Int J Artif Organs     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-20     Completed Date:  2001-10-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802649     Medline TA:  Int J Artif Organs     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  140-4     Citation Subset:  IM    
Institute of Cardiology, University of Bologna, Italy.
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MeSH Terms
Cross-Over Studies
Defibrillators, Implantable / standards*
Middle Aged
Postoperative Care
Prospective Studies
Quality Control
Tachycardia, Ventricular / prevention & control*

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