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Verfasst von:Chiu, Cheyenne S. L. [VerfasserIn]   i
 Timmermans, Ivy [VerfasserIn]   i
 Versteeg, Henneke [VerfasserIn]   i
 Zitron, Edgar [VerfasserIn]   i
 Mabo, Philippe [VerfasserIn]   i
 Pedersen, Susanne S. [VerfasserIn]   i
 Meine, Mathias [VerfasserIn]   i
Titel:Effect of remote monitoring on clinical outcomes in European heart failure patients with an implantable cardioverter-defibrillator
Titelzusatz:secondary results of the REMOTE-CIED randomized trial
Verf.angabe:Cheyenne S.L. Chiu, Ivy Timmermans, Henneke Versteeg, Edgar Zitron, Philippe Mabo, Susanne S. Pedersen, and Mathias Meine, for the REMOTE-CIED Trial Investigators
E-Jahr:2022
Jahr:19 August 2021
Umfang:12 S.
Fussnoten:Gesehen am 19.05.2022
Titel Quelle:Enthalten in: Europace
Ort Quelle:Oxford : Oxford Univ. Press, 1999
Jahr Quelle:2022
Band/Heft Quelle:24(2022), 2 vom: Feb., Seite 256-267
ISSN Quelle:1532-2092
Abstract:Remote patient monitoring (RPM) systems offer a promising alternative to conventional In-Clinic check-ups, hereby reducing unnecessary clinic visits. Especially with the rise of the COVID-19 pandemic, this reduction is of paramount importance. Regarding the association between RPM and clinical outcomes, findings of previous studies have been inconsistent. The aim of this study is to elucidate the effect of partly substituting In-Clinic visits by RPM on clinical outcomes in implantable cardioverter-defibrillator (ICD) patients.The study included 595 heart failure patients (LVEF ≤35%; NYHA Class II/III) implanted with an ICD compatible with the Boston Scientific LATITUDE™ system. Participants were randomized to RPM plus an annual In-Clinic visit or 3-6 months In-Clinic check-ups alone. The investigated endpoints after 2 years of follow-up included a composite of all-cause mortality and cardiac hospitalization, mortality and cardiac hospitalization as independent endpoints and ICD therapy. The incidence of mortality and hospitalization did not differ significantly as independent, nor as composite endpoint between the RPM and In-Clinic group (all Ps <0.05). The results were similar regarding ICD therapy, except for appropriate ICD therapy (odds ratio 0.50; 95% confidence interval 0.26-0.98; P = 0.04). Exploratory subgroup analyses indicated that the effect of RPM differs between patients with specific characteristics, i.e. ≥60 years and permanent atrial fibrillation (all Ps < 0.05).RPM is non-inferior to conventional In-Clinic visits regarding clinical outcomes. Routine In-Clinic follow-up may partly be substituted by RPM without jeopardizing safety and efficiency, and thus reducing unnecessary In-Clinic visits.NCT01691586.
DOI:doi:10.1093/europace/euab221
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1093/europace/euab221
 DOI: https://doi.org/10.1093/europace/euab221
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1803222336
Verknüpfungen:→ Zeitschrift

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