Key result
Remote ICD interrogation was less preferred than clinic visits among 34 respondents, who rated clinic visits as having better human contact and opportunity to ask questions.
Why the study?
It was hypothesized that demographic and socioeconomic factors influence patient satisfaction with remote monitoring versus clinic visits for ICD follow-up.
Does remote monitoring compared to clinic visits affect patient satisfaction and perception of care in patients with ICDs?
Cross-Sectional (n=85)
Does remote monitoring compared to clinic visits affect patient satisfaction and perception of care in patients with ICDs?
Despite the clinical benefits of remote ICD monitoring, patients may prefer clinic visits due to perceived better human contact and communication, highlighting the need for patient education.
Answers are grounded in this paper and cite their sources.
Patient preference for in-person ICD visits warrants caution with remote adoption; leaves open larger studies on satisfaction and outcomes.
Implantable Cardioverter Defibrillators (ICDs) are used in the management of sudden cardiac arrest. Compared with clinic visits, remote interrogation of these devices has shown clinical benefit and lower cost. We hypothesize that demographic and socioeconomic factors influence patient satisfaction with remote monitoring and therefore the choice of a pathway for follow-up. Questionnaires were mailed to 85 patients (mean age 63 ± 13.5 years, 73% male), with ICDs implanted for primary prevention of sudden cardiac arrest. Information regarding education, social support, employment, and income was collected. To compare clinic and remote monitoring, patients were given questionnaires to assess which parameters they consider important: convenience, accuracy, human contact, scheduling, and cost. Of the 34 responders, patients rated clinic visit to be as accurate with better opportunity to ask questions and better human contact, but there was no difference in perception of convenience, scheduling, or cost between the 2 groups. Significant number of patients dropped from the labor market after ICD implantation; however labor status, education, or income did not influence the preference of clinic appointment. Survey respondents preferred clinic to remote interrogation because they believe clinic appointments allow better interaction. Educating patients about the benefits of remote interrogation and improved communication will enhance utilization of this sophisticated technology for superior patient care.
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Srivatsa et al. (2019) conducted a cross-sectional in Sudden cardiac arrest (primary prevention with ICD) (n=85). Remote interrogation vs. Clinic visits was evaluated on Patient perception of convenience, accuracy, human contact, scheduling, and cost. Remote ICD interrogation was less preferred than clinic visits among 34 respondents, who rated clinic visits as having better human contact and opportunity to ask questions.
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