Key result
In-office wireless pacemaker setup is linked to 91% transmission success versus 22% with home setup.
Why the study?
The utility of remote wireless follow-up of implanted pacemakers depends on successful data transmission, and the impact of initial setup location on transmission success was unclear.
Cohort (n=202)
Yes
Answers are grounded in this paper and cite their sources.
In-office wireless PM setup may boost transmission success; leaves open whether prospective trials should alter follow-up protocols.
BACKGROUND: Remote wireless follow-up of implanted pacemakers (PM) has become an attractive method of follow-up. Although wireless PM follow-up has several advantages compared with transtelephonic and office-based follow-up, its utility depends on successful transmission. HYPOTHESIS: Initial in-office setup of wireless PM will improve transmission rate as compared with home setup. METHODS: A total of 202 consecutive patients from 2 medical centers were included in this retrospective study. Patients in the home setup group (N = 101) had traditional home setup of wireless PM, whereas patients in the in-office group (N = 101) had setup of PMs by allied health professionals during the postoperative office visit. Successful transmission was defined as successful initial wireless transmission of PM data by 2 months postimplant. RESULTS: Of the 101 patients in the home setup group, 22 (22%) patients had successful transmission. Of the 101 patients in the in-office group, 92 (91%) patients had successful transmission (P < 0.0001). Logistic regression analysis showed that that the in-office group was independently associated with successful transmission (odds ratio: 114.5; 95% confidence interval: 32.1-408.4; P < 0.0001). CONCLUSIONS: In patients implanted with PM capable of remote wireless data transmission, initial home setup of the wireless monitoring device was frequently unsuccessful. In-office PM setup was associated with a significantly higher rate of successful transmission.
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Ren et al. (2013) conducted a cohort in Implanted pacemakers capable of remote wireless data transmission (n=202). In-office setup of wireless pacemaker vs. Traditional home setup was evaluated on Successful initial wireless transmission of pacemaker data by 2 months postimplant (OR 114.5, 95% CI 32.1-408.4, p=< 0.0001). In-office setup of wireless pacemakers was associated with a higher rate of successful data transmission compared to home setup.
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