Key result
Simulated daily home monitoring reduced stroke incidence in case of AF to 2.3% compared to 2.9% with 12-month standard follow-up (OR 0.82; 95% CI 0.79-0.85).
Why the study?
Does home monitoring reduce stroke risk compared to standard in-person follow-up in patients with pacemakers and ICDs?
Population
4,000 virtual subjects simulated based on a real sample of 136 pacemaker and ICD patients with or without…
Comparison
Home monitoring remote control with automatic… vs Standard in-person follow-up at 3, 6, 9, or 12…
Design
Other
Follow-up
2 years (simulated)
Authors
Loading...
May modestly lower stroke risk with daily home monitoring in device patients; hypothesis-generating and requires randomized confirmation.
Does home monitoring reduce stroke risk compared to standard in-person follow-up in patients with pacemakers and ICDs?
Odds Ratio: 0.82 (95% CI 0.79–0.85)
Absolute Event Rate: 2.3% vs 2.9%
Monte Carlo simulations suggest that daily home monitoring of pacemaker and ICD patients may reduce stroke risk by 9% to 18% compared to standard in-person follow-up every 6 to 12 months.
Ricci et al. (2009) studied Patients with pacemakers and implantable defibrillators (ICD) (n=4,000). Home monitoring (HM) remote control with automatic alerts for AF vs. Standard in-person follow-up (SF) at 3, 6, 9, or 12 months was evaluated on Stroke incidence in case of AF (OR 0.82, 95% CI 0.79-0.85). Simulated daily home monitoring reduced stroke incidence in case of AF to 2.3% compared to 2.9% with 12-month standard follow-up (OR 0.82; 95% CI 0.79-0.85).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: