Key result
Remote monitoring of patients with pacemakers over five years maintained health-related quality of life and functional capacity similarly to conventional monitoring, while significantly reducing in-hospital visits.
Why the study?
Although HRQoL and functional capacity immediately after pacemaker implantation are well established, little is known regarding their long-term effects.
Does remote monitoring plus a clinic visit improve long-term health-related quality of life and functional capacity compared to clinic visits alone in adults implanted with pacemakers?
Cohort (n=89)
Open-label
Non-randomized
No
Does remote monitoring plus a clinic visit improve long-term health-related quality of life and functional capacity compared to clinic visits alone in adults implanted with pacemakers?
Absolute Event Rate: 73.81% vs 72.94%
p-value: p=0.88
Remote monitoring of pacemakers over 5 years is safe, effective, and associated with improved long-term health-related quality of life compared to conventional monitoring.
May reduce visits without QoL loss in pacemaker patients; extends observational data but leaves open need for RCTs.
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.
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López‐Liria et al. (2020) conducted a cohort in Patients with implanted pacemakers (n=89). Remote monitoring vs. Conventional monitoring (clinic visits alone) was evaluated on Health-related quality of life (EQ-5D VAS) at 5 years (p=0.88). Remote monitoring of patients with pacemakers over five years maintained health-related quality of life and functional capacity similarly to conventional monitoring, while significantly reducing in-hospital visits.
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