Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study
Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a...
| Main Authors: | , , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
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MDPI
2020
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10835/7746 |
| _version_ | 1789408416898220032 |
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| author | López Liria, Remedios López Villegas, Antonio Leal Costa, César Peiró, Salvador Robles Musso, Emilio Bautista Mesa, Rafael Rocamora Pérez, Patricia Lappegård, Knut Tore Catalán Matamoros, Daniel Jesús |
| author_facet | López Liria, Remedios López Villegas, Antonio Leal Costa, César Peiró, Salvador Robles Musso, Emilio Bautista Mesa, Rafael Rocamora Pérez, Patricia Lappegård, Knut Tore Catalán Matamoros, Daniel Jesús |
| author_sort | López Liria, Remedios |
| collection | DSpace |
| description | Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs. This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity. After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001). Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-7746 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2020 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-77462023-04-12T19:19:21Z Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study López Liria, Remedios López Villegas, Antonio Leal Costa, César Peiró, Salvador Robles Musso, Emilio Bautista Mesa, Rafael Rocamora Pérez, Patricia Lappegård, Knut Tore Catalán Matamoros, Daniel Jesús health-related quality of life long-term follow-up remote monitoring pacemaker telemedicine Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs. This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity. After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001). Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time. 2020-03-02T11:52:23Z 2020-03-02T11:52:23Z 2020-02-23 info:eu-repo/semantics/article 1660-4601 http://hdl.handle.net/10835/7746 en https://www.mdpi.com/1660-4601/17/4/1431 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | health-related quality of life long-term follow-up remote monitoring pacemaker telemedicine López Liria, Remedios López Villegas, Antonio Leal Costa, César Peiró, Salvador Robles Musso, Emilio Bautista Mesa, Rafael Rocamora Pérez, Patricia Lappegård, Knut Tore Catalán Matamoros, Daniel Jesús Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title | Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title_full | Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title_fullStr | Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title_full_unstemmed | Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title_short | Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study |
| title_sort | effectiveness and safety in remote monitoring of patients with pacemakers five years after an implant: the poniente study |
| topic | health-related quality of life long-term follow-up remote monitoring pacemaker telemedicine |
| url | http://hdl.handle.net/10835/7746 |
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