Superiority of automatic remote monitoring compared with in-person evaluation for scheduled ICD follow-up in the TRUST trial - testing execution of the recommendations
Why the study?
Does automatic remote Home Monitoring improve adherence to scheduled follow-up in ICD patients?
Population
ICD patients
Comparison
Automatic remote Home Monitoring with remote… vs Conventional monitoring with in-person…
Design
RCT, randomized 2:1
Follow-up
15 months post-implant
Authors
Discussion
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Member takes
Implication
Supports adoption of remote monitoring to improve ICD follow-up retention; extends RCT evidence for home monitoring over in-person protocols.
Structured PICO
Does automatic remote Home Monitoring improve adherence to scheduled follow-up in ICD patients?
P
Population
ICD patients (mean age 63 years, 72% male, left ventricular ejection fraction 29%, primary prevention 73%, DDD 57%)
I
Intervention
Automatic remote Home Monitoring (HM) with remote assessment only for 1 year between 3 and 15 month evaluations
C
Comparator
Conventional monitoring with in-person evaluations (IPE) only
O
Outcome
Adherence to scheduled follow-up
Automatic remote monitoring for ICD follow-up significantly improves patient retention and adherence to scheduled evaluations compared to in-person visits.
Cite This Study
Varma et al. (2014) studied this question.