학술논문
Remote Monitoring for Implantable Defibrillators: A Nationwide Survey in Italy
Document Type
article
Author
Luzi, Mario; De Simone, Antonio; Leoni, Loira; Amellone, Claudia; Pisanò, Ennio; Favale, Stefano; Iacoviello, Massimo; Luise, Raffaele; Bongiorni, Maria Grazia; Stabile, Giuseppe; La Rocca, Vincenzo; Folino, Franco; Capucci, Alessandro; D'Onofrio, Antonio; Accardi, Francesco; Valsecchi, Sergio; Buia, Gianfranco
Source
Interactive Journal of Medical Research, Vol 2, Iss 2, p e27 (2013)
Subject
Language
English
ISSN
1929-073X
Abstract
BackgroundRemote monitoring (RM) permits home interrogation of implantable cardioverter defibrillator (ICD) and provides an alternative option to frequent in-person visits. ObjectiveThe Italia-RM survey aimed to investigate the current practice of ICD follow-up in Italy and to evaluate the adoption and routine use of RM. MethodsAn ad hoc questionnaire on RM adoption and resource use during in-clinic and remote follow-up sessions was completed in 206 Italian implanting centers. ResultsThe frequency of routine in-clinic ICD visits was 2 per year in 158/206 (76.7%) centers, 3 per year in 37/206 (18.0%) centers, and 4 per year in 10/206 (4.9%) centers. Follow-up examinations were performed by a cardiologist in 203/206 (98.5%) centers, and by more than one health care worker in 184/206 (89.3%) centers. There were 137/206 (66.5%) responding centers that had already adopted an RM system, the proportion of ICD patients remotely monitored being 15% for single- and dual-chamber ICD and 20% for cardiac resynchronization therapy ICD. Remote ICD interrogations were scheduled every 3 months, and were performed by a cardiologist in 124/137 (90.5%) centers. After the adoption of RM, the mean time between in-clinic visits increased from 5 (SD 1) to 8 (SD 3) months (P