Remote Monitoring of CRT‐ICD: The Multicenter Italian CareLink Evaluation—Ease of Use, Acceptance, and Organizational Implications
Abstract
Purpose: The Medtronic CareLink allows remote implantable device follow‐up. In this first European experience with CareLink, we assessed the ease of use of the system, the acceptance, and satisfaction of patients and clinicians. Methods: Patients implanted with biventricular defibrillators for more than 6 months received the CareLink monitor and were trained to perform home device interrogation and transmission. Patient and clinician experience and preference were evaluated through specific questionnaires. Results: Sixty‐seven patients were enrolled and were able to perform data transmissions during the 3‐month study duration. The overall duration of interrogation procedure was 7 ± 5 minutes, and frequently the procedure did not require the assistance of a caregiver. Patients reported a general preference for remote versus in‐clinic follow‐up and described a sense of reassurance created by the remote monitoring capability. In the centers, the review procedure was successful; its mean duration was 5 ± 2 minutes per transmission and the users indicated that the access and navigation of the review website were easy. At the end of the evaluation, the data available for remote review were judged complete and adequate to provide almost the same standard of care as that offered in traditional in‐clinic visit. In general, the remote monitoring was seen as a potential tool to improve the clinical management of patients with device. Conclusions: The ease of use, satisfaction, and acceptance of the CareLink Network in European clinical practice appears elevated both for patients and for clinicians.
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Surveys reveal that patients prefer home to in-office monitoring, and physicians find that the systems are user friendly.
“In general, surveys reveal that patients prefer home to in-office monitoring, and physicians find that the systems are user friendly.52,53”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [53]
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- Authors
- MARZEGALLI, M., LUNATI, M., LANDOLINA, M., PEREGO, G. B., RICCI, R. P., GUENZATI, G., SCHIRRU, M., BELVITO, C., BRAMBILLA, R., MASELLA, C., DI STASI, F., VALSECCHI, S., & SANTINI, M.
- Affiliations
- Azienda Ospedaliera Ospedale San Carlo Borromeo (IT)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- Policlinico San Matteo Fondazione (IT)
- IRCCS Istituto Auxologico Italiano (IT)
- Ospedale San Filippo Neri (IT)
- Politecnico di Milano (IT)
- Medtronic (Italy) (IT)
- Corresponding author
- SANTINI, MASSIMO
- ORCID
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2008-09-15
- Volume
- 31
- Issue
- 10
- Pages
- 1259-1264
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W1984630213
- Cited by
- 134
- References
- 11
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 12 · 2014: 9 · 2013: 21 · 2012: 13
- FWCI
- 9.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- remote monitoring, CRT-ICD, patient satisfaction, provider satisfaction, ease of use, patient acceptance
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Heart Failure, Humans, Italy, Male, Middle Aged, Patient Acceptance of Health Care, Patient Satisfaction, Defibrillators, Implantable, Remote Consultation
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