Cost savings and safety of ICD remote control by telephone

• Verfasst von: Bikou, Olympia [VerfasserIn]
• Verfasst von: Licka, Manuela [VerfasserIn]
• Verfasst von: Kathöfer, Sven [VerfasserIn]
• Verfasst von: Katus, Hugo [VerfasserIn]
• Verfasst von: Bauer, Alexander [VerfasserIn]
• Titel: Cost savings and safety of ICD remote control by telephone
• Titelzusatz: a prospective, observational study
• Verf.angabe: Olympia Bikou, Manuela Licka, Sven Kathoefer, Hugo A Katus, and Alexander Bauer
• E-Jahr: 2010
• Jahr: October 2010
• Umfang: 6 S.
• Fussnoten: Online veröffentlicht: 24. September 2010 ; Gesehen am 01.02.2023
• Titel Quelle: Enthalten in: Journal of telemedicine and telecare
• Ort Quelle: London : Sage, 1995
• Jahr Quelle: 2010
• Band/Heft Quelle: 16(2010), 7, Seite 403-408
• ISSN Quelle: 1758-1109
• DOI: doi:10.1258/jtt.2010.090810
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Aged
• Sach-SW: Cost-Benefit Analysis
• Sach-SW: Defibrillators, Implantable
• Sach-SW: Female
• Sach-SW: Health Care Costs
• Sach-SW: Home Care Services
• Sach-SW: Humans
• Sach-SW: Male
• Sach-SW: Middle Aged
• Sach-SW: Prospective Studies
• Sach-SW: Telemetry
• Sach-SW: Telephone
• K10plus-PPN: 1832953645

Abstract

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.