Economic Evaluation and Communication in Remote Monitoring of People With Pacemakers

University of Tromso (UiT)

Status: Completed

Conditions: Cardiovascular Disease

Treatments: Device: Telemedicine System

Study type: Interventional

Funder types: Other

Identifiers

NCT02237404

008WABELCMW2014A

Details and patient eligibility

About

The purpose of this research is to estimate the outcomes in health and cost of the follow-up of patients with pacemakers.

The initial hypothesize of this study is that remote monitoring of pacemaker will show a best relation of outcomes in costs and effectiveness than the conventional follow-up in hospital.

Full description

Cardiovascular Diseases are a major cause of global morbidity and mortality, being responsible according to the World Health Organization of the 30% of overall mortality.

Since 2001 that the first pacemaker of remote monitoring was implanted in Europe, more than 300,000 pacemaker have been implanted around the world. Despite this sharp expansion, the scientific evidence on economic evaluations of pacemaker with remote monitoring is very limited, and in our knowledge, studies including informal costs have not been conducted.

In the field of cardiology, telemedicine allows consultations with patients through monitoring systems and remote communication analyzing the ongoing heart rates of people with pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy and subcutaneous Holter. The use of remote monitoring may save time and efforts to both healthcare professionals and patients, including their informal caregivers, reducing the number of follow up visits to the hospital and reducing the associated costs with patient follow-up, which will help to improve sustainability of healthcare services.

During the 06 months of study, the patients with implant of pacemakers of both groups will be assessed of the same parameters, in 3 different moments (pre-implant and months 1, and 6 post-implantation).

Pacemakers that are going to be used in the project:

1. Remote monitoring group: Biotronik Estella SR-T and DR-T & Biotronik Evia SR-T and DR-T.
2. Hospital monitoring group: St Jude Medical Endurity SR and DR & Sorin Reply 200 SR and DR.

The study will estimate: 1) The Clinical features of the patients. 2) The effectiveness through of administration of Health-Related Quality of Life questionnaires and 3) Finally, hospital and informal costs of patients with pacemakers will be estimated by the researches.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Be 18 years of age
• Have a pacemaker implanted
• Understand and be able to properly perform self-monitoring at home

Exclusion criteria

• Be participating in another study
• Refuse to participate in the study
• Have implanted a different cardiac device to the pacemaker

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Hospital monitoring of pacemakers

No Intervention group

Description:

Patients have to go to the hospital to be monitorized

Remote monitoring of pacemakers

Experimental group

Description:

Telemedicine System: Patients have not to go to the hospital to be monitorized

Treatment:

Device: Telemedicine System