Cited by 19Telemedicine and Telehealth ImplementationCardiac pacing and defibrillation studiesHealth Systems, Economic Evaluations, Quality of Life

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A Systematic Review of Economic Evaluations of Pacemaker Telemonitoring Systems

López-Villegas, Antonio, Catalán-Matamoros, Daniel, Martín-Saborido, Carlos, Villegas-Tripiana, Irene, Robles-Musso, Emilio·2016·Revista Española de Cardiología (English Edition)

Abstract

Introduction and objectives Over the last decade, telemedicine applied to pacemaker monitoring has undergone extraordinary growth. It is not known if telemonitoring is more or less efficient than conventional monitoring. The aim of this study was to carry out a systematic review analyzing the available evidence on resource use and health outcomes in both follow-up modalities. Methods We searched 11 databases and included studies published up until November 2014. The inclusion criteria were: a) experimental or observational design; b) studies based on complete economic evaluations; c) patients with pacemakers, and d) telemonitoring compared with conventional hospital monitoring. Results Seven studies met the inclusion criteria, providing information on 2852 patients, with a mean age of 81 years. The main indication for device implantation was atrioventricular block. With telemonitoring, cardiovascular events were detected and treated 2 months earlier than with conventional monitoring, thus reducing length of hospital stay by 34% and reducing routine and emergency hospital visits as well. There were no significant intergroup differences in perceived quality of life or number of adverse events. The cost of telemonitoring was 60% lower than that of conventional hospital monitoring. Conclusions Compared with conventional monitoring, cardiovascular events were detected earlier and the number or hospitalizations and hospital visits was reduced with pacemaker telemonitoring. In addit…

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Research works printed but not linked: 20

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Metadata

Authors
López-Villegas, A., Catalán-Matamoros, D., Martín-Saborido, C., Villegas-Tripiana, I., & Robles-Musso, E.
Affiliations
  • Nordland Hospital Trust (NO)
  • Universidad Carlos III de Madrid (ES)
  • Hospital de Poniente (ES)
Corresponding author
López-Villegas, Antonio
Venue
Revista Española de Cardiología (English Edition)
Publisher
Elsevier BV
Published
2016-02
Volume
69
Issue
2
Pages
125-133
ISSN
1885-5857 (ISSN-L)
OpenAlex
W2100928207
Cited by
19
References
4
Citations by year
2024: 1 · 2023: 2 · 2021: 2 · 2020: 9 · 2019: 3 · 2018: 1 · 2017: 1
FWCI
0.10
Type
journal article
Language
en
Open access
closed
Locations
  • Revista Española de Cardiología (English Edition) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords
cardiac pacemaker, telemedicine, economic evaluation, cost-effectiveness, atrioventricular block, hospital monitoring, length of hospital stay, hospital visits, quality of life, adverse events, resource utilization (health care), older adults, implantable cardioverter-defibrillator, remote patient monitoring, follow-up costs, hospitalization reduction
MeSH terms
Aged, Aged, 80 and over, Cost-Benefit Analysis, Female, Follow-Up Studies, Hospitalization, Humans, Length of Stay, Male, Pacemaker, Artificial, Randomized Controlled Trials as Topic, Telemedicine, Hospital Costs, Monitoring, Ambulatory

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