Key result
Patientlog system demonstrates feasibility for administrative and clinical ICD patient management across 150 follow-ups.
Why the study?
A system for control and administrative management of patients with implantable cardioverter defibrillators was needed to facilitate data storage and retrieval.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for Patientlog in small ICD cohorts; leaves open scalability and prospective validation before wider use.
A pacemaker management system (Patientlog), implemented on a IBM personal computer (AT), was adapted for the control and the administrative management of patients with an implantable cardioverter defibrillator (ICD). Several parameters used for pacemakers were also suitable for ICDs, while some fields were defined within the available frame of the database, to cope with the specific technical information of ICDs. "Intervention-cards" display diagnostic (threshold) as well as complex surgical information (approach, lead systems, etc.). "Follow-up-cards" present charge time and the number of shocks in such a way that decision making is very easy. Fourteen patients were followed with a total of 21 interventions, six different types of devices, and more than 150 follow-ups. A correct control of ICD functions is easy. The system is adapted for programmable ICDs. Updated reports containing necessary information are generated immediately after each procedure or follow-up.
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Jordaens et al. (1991) studied Implantable cardioverter defibrillator (ICD) (n=14). Patientlog management system was evaluated. The Patientlog management system was successfully adapted for the administrative and clinical management of 14 patients with implantable cardioverter defibrillators over 150 follow-ups.
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