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May 25, 2012Circulation350 citationsOpen Access

Remote Monitoring Reduces Healthcare Use and Improves Quality of Care in Heart Failure Patients With Implantable Defibrillators

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Why the study?

Does Internet-based remote monitoring reduce emergency department or urgent in-office visits in heart failure patients with implantable cardioverter-defibrillators?

Population

200 heart failure patients with implantable cardioverter-defibrillators or an ICD for resynchronization…

Comparison

Internet-based remote monitoring vs Standard patient management consisting of…

Design

RCT, randomized

Follow-up

16 months

Authors

MLMaurizio LandolinaGPGiovanni Battista PeregoMLMaurizio Lunati

Discussion

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Overview

Supports remote monitoring integration in HF-ICD care to cut urgent visits; extends RCT evidence for telemonitoring efficacy.

Structured PICO

Does Internet-based remote monitoring reduce emergency department or urgent in-office visits in heart failure patients with implantable cardioverter-defibrillators?

P
Population
200 heart failure patients with implantable cardioverter-defibrillators (ICDs) or an ICD for resynchronization therapy
I
Intervention
Internet-based remote monitoring
C
Comparator
Standard patient management consisting of scheduled visits and patient response to audible ICD alerts
O
Outcome
Rate of emergency department or urgent in-office visits for heart failure, arrhythmias, or ICD-related events over 16 monthscomposite

Remote monitoring of ICDs and CRT-Ds in heart failure patients significantly reduces emergency and urgent healthcare visits while improving quality of life.

Cite This Study

Landolina et al. (2012) studied this question.

synapsesocial.com/papers/6a22e675eac76ce24af2e506https://doi.org/10.1161/circulationaha.111.088971
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