Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study

Remedios López-Liria, Antonio López-Villegas, César Leal-Costa, Salvador Peiró, Emilio Robles-Musso, Rafael Bautista-Mesa, Patricia Rocamora-Pérez, Knut Tore Lappegård and Daniel Catalán-Matamoros
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Remedios López-Liria: Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain
Antonio López-Villegas: Social Involvement of Critical and Emergency Medicine, CTS-609 Research Team, Hospital de Poniente, 04700 Almeria, Spain
César Leal-Costa: Nursing Department, University of Murcia, 30100 Murcia, Spain
Salvador Peiró: Health Services Research Unit, FISABIO-PUBLIC HEALTH, 04700 Valencia, Spain
Emilio Robles-Musso: Intensive Care Unit, Hospital de Poniente, 04700 El Ejido-Almería, Spain
Rafael Bautista-Mesa: Management Unit, Hospital de Poniente, 04700 Almeria, Spain
Patricia Rocamora-Pérez: Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain
Knut Tore Lappegård: Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway
Daniel Catalán-Matamoros: Department of Communication Studies, Universidad Carlos III de Madrid, 28903 Madrid, Spain

IJERPH, 2020, vol. 17, issue 4, 1-13

Abstract: 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.

Keywords: health-related quality of life; long-term follow-up; remote monitoring; pacemaker; telemedicine (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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