Key result
Mobile cardiac outpatient telemetry monitoring post-TAVR was associated with a higher rate of pacemaker insertion compared to non-MCOT monitoring (6.6% vs 2.1%; p=0.007).
Why the study?
The costs and clinical outcomes associated with mobile cardiac outpatient telemetry monitoring following transcatheter aortic valve replacement were not well characterized.
Does mobile cardiac outpatient telemetry (MCOT) monitoring post-TAVR affect costs and rates of pacemaker insertion compared to non-MCOT monitoring?
Cohort (n=4,164)
Does mobile cardiac outpatient telemetry (MCOT) monitoring post-TAVR affect costs and rates of pacemaker insertion compared to non-MCOT monitoring?
MCOT monitoring post-TAVR is associated with increased detection and insertion of pacemakers without increasing overall 60-day costs.
Aim: To estimate the costs and outcomes of transcatheter aortic valve replacement (TAVR) recipients based on the use of mobile cardiac outpatient telemetry (MCOT) monitoring. Materials & methods: A retrospective database study was conducted to estimate costs, contribution margins (CMs), pacemaker insertions and other outcomes for patients undergoing TAVR procedures with MCOT monitoring post-procedure versus non-MCOT monitoring. Results: A total of 4164 patients were identified (283 MCOT monitoring and 3881 non-MCOT monitoring). The rate of pacemaker insertion following hospital discharge was higher in the MCOT cohort (6.6 MCOT vs 2.1% non-MCOT; p = 0.007). MCOT use was associated with lower costs and improved CMs of the index TAVR admission (costs: US$40,569 MCOT vs $43,289 non-MCOT; p = 0.003; CMs: US$7087 MCOT vs $5177 non-MCOT; p = 0.047) with no difference through the subsequent 60-day period following discharge. Conclusion: MCOT for ambulatory cardiac monitoring post-TAVR discharge is associated with higher rates of pacemaker insertion, at no overall greater costs.
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Mohr et al. (2022) conducted a cohort in Post-transcatheter aortic valve replacement (TAVR) (n=4,164). Mobile cardiac outpatient telemetry (MCOT) monitoring vs. Non-MCOT monitoring was evaluated on Pacemaker insertion following hospital discharge (p=0.007). Mobile cardiac outpatient telemetry monitoring post-TAVR was associated with a higher rate of pacemaker insertion compared to non-MCOT monitoring (6.6% vs 2.1%; p=0.007).
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