Key result
Early discharge with Home-Monitoring after pacemaker implantation or replacement resulted in major adverse events in 9.2% of patients versus 13.3% with usual care (ARR 4.1%; 95% CI -2.2 to 10.4).
Why the study?
Does abbreviated hospitalization with home monitoring prevent major adverse events in patients after dual-chamber pacemaker implantation or replacement?
RCT (n=379)
Does abbreviated hospitalization with home monitoring prevent major adverse events in patients after dual-chamber pacemaker implantation or replacement?
Absolute Risk Reduction: 4.1 (95% CI -2.2–10.4)
Absolute Event Rate: 9.2% vs 13.3%
Absolute Risk Reduction: 4.1%
p-value: p=0.21
Early discharge with home monitoring after dual-chamber pacemaker implantation or replacement is safe and significantly reduces hospitalization duration.
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Supports early discharge with home monitoring after pacemaker implantation; extends RCT evidence for safety with shorter hospitalization.
Halimi et al. (2008) conducted an RCT in Implantation or replacement of dual-chamber pacemakers (n=379). Early discharge with Home-Monitoring vs. Usual medical practices was evaluated on One or more major adverse events (MAE) (ARR 4.1%, 95% CI -2.2 to 10.4, p=0.21). Early discharge with Home-Monitoring after pacemaker implantation or replacement resulted in major adverse events in 9.2% of patients versus 13.3% with usual care (ARR 4.1%; 95% CI -2.2 to 10.4).
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