Revisión sistemática de evaluaciones económicas de los sistemas de telemonitorización en los marcapasos

López-Villegas, Antonio; Catalán-Matamoros, Daniel; Saborido, C Martin; Villegas-Tripiana, Irene; Robles-Musso, Emilio

doi:10.1016/j.recesp.2015.06.021

Cited by 11 publications

(2 citation statements)

References 22 publications

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“…This fact was reflected in the overload of informal caregivers. On the other hand, these results are similar to those obtained in previous studies that had assessed the economic impact of RM provided to patients with pacemakers [5,8,9,32,[34][35][36].…”

Section: Discussionsupporting

confidence: 89%

Long-Term Socioeconomic Impact of Informal Care Provided to Patients with Pacemakers: Remote vs. Conventional Monitoring

et al. 2020

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The impact of informal care immediately after pacemaker (PM) implantation has been well established; however, not much is known about its long-term effects. The present study compared personal characteristics, associated problems, workloads, time, and costs related to informal care provided to patients with PM under remote monitoring (RM) vs. conventional monitoring (CM) in the hospital, five years after implantation. The PONIENTE study was a controlled, non-randomized or masked clinical trial conducted with information obtained from the perspective of informal caregivers. Data were collected at 12 and 60 months after PM implantation. The patients in the study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The “Disability, personal autonomy, and dependency situations survey” (EDAD) was administered to collect information on sociodemographic characteristics, time, care difficulties, health status, professional aspects, and impact on economic, family, or leisure aspects of the main caregivers providing care to patients with pacemakers. After five years, 55 patients completed the study (RM = 21; CM = 34). The average age was 63.14 years (SD = 14.90), 96% of them were women, and the most predominant marital status was married (72%). Informal caregivers lived in the homes of the patients in 70% of cases, and 88% indicated that they had to provide care six to seven days a week. The average cost per patient during the monitoring period studied was 13.17% lower in the RM group than in the CM group, and these differences were not statistically significant (p = 0.35). This study found similar results in the two groups under study with respect to sociodemographic characteristics, workload, time, and problems associated with health, leisure and family members. The costs associated with care were higher in the CM group; however, these differences were not statistically significant.

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Section: Discussionsupporting

confidence: 89%

Long-Term Socioeconomic Impact of Informal Care Provided to Patients with Pacemakers: Remote vs. Conventional Monitoring

et al. 2020

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“…A Cochrane review and a meta-analysis concluded that telemonitoring reduces all-cause mortality and HF-related hospitalisations [5,28]. Another systematic review reported that telemonitoring systems helped in the early detection of cardiovascular events compared to conventional monitoring, thus reducing the number of hospitalisations and hospital visits and lowering the costs associated with follow-ups [29].…”

Section: Discussionmentioning

confidence: 99%

Telemonitoring and Quality of Life in Patients after 12 Months Following a Pacemaker Implant: the Nordland Study, a Randomised Trial

López-Liria

López-Villegas

Enebakk

et al. 2019

IJERPH

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The purpose of this study was to analyse the health-related quality of life (HRQoL) of patients followed up using a remote device-monitoring system (TM) compared to patients followed up through standard outpatient visits (HM), 12 months after the implantation of a pacemaker. This was a trial design that used the EuroQol-5D Questionnaire and the Minnesota Living with Heart Failure Questionnaire (MLHF). The HRQoL of a cohort of 50 consecutive patients randomly allocated to one of the two follow-up modalities was measured at baseline and then during follow-up, 12 months after the pacemaker implantation. Eventually, 23 patients were followed-up through standard outpatient visits, while 23 used a remote monitoring system. Results: The baseline clinical characteristics and health-related quality of life of the patients from both groups were observed to be statistically similar. Twelve months after the pacemaker implantation, both groups showed statistically significant improvements in the baseline parameters based on the MLHF. The patients followed up through hospital visits showed a greater increase in MLHF-HRQoL after 12 months, although the increase was not significantly greater than that of the TM group. Furthermore, the frequencies of emergency visits and re-hospitalisations did not differ between the groups.

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Telecardiology

Marcolino

Alkmim

Silva

et al. 2020

Telemedicine, Telehealth and Telepresence

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Revisión sistemática de evaluaciones económicas de los sistemas de telemonitorización en los marcapasos

Cited by 11 publications

References 22 publications

Long-Term Socioeconomic Impact of Informal Care Provided to Patients with Pacemakers: Remote vs. Conventional Monitoring

Long-Term Socioeconomic Impact of Informal Care Provided to Patients with Pacemakers: Remote vs. Conventional Monitoring

Telemonitoring and Quality of Life in Patients after 12 Months Following a Pacemaker Implant: the Nordland Study, a Randomised Trial

Telecardiology

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