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Article

Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study

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Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain
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Social Involvement of Critical and Emergency Medicine, CTS-609 Research Team, Hospital de Poniente, 04700 Almeria, Spain
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Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway
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Nursing Department, University of Murcia, 30100 Murcia, Spain
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Health Services Research Unit, FISABIO-PUBLIC HEALTH, 04700 Valencia, Spain
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Intensive Care Unit, Hospital de Poniente, 04700 El Ejido-Almería, Spain
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Management Unit, Hospital de Poniente, 04700 Almeria, Spain
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Division of Medicine, Nordland Hospital, N-8092 Bodø, Norway
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Department of Communication Studies, Universidad Carlos III de Madrid, 28903 Madrid, Spain
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Health Sciences CTS-451 Research Group, Health Research Centre, University of Almería, 04120 Almería, Spain
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Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(4), 1431; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17041431
Received: 11 January 2020 / Revised: 11 February 2020 / Accepted: 20 February 2020 / Published: 23 February 2020
(This article belongs to the Special Issue Advances in Communication and Public Health)

Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs. This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity. After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001). Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time. View Full-Text
Keywords: health-related quality of life; long-term follow-up; remote monitoring; pacemaker; telemedicine health-related quality of life; long-term follow-up; remote monitoring; pacemaker; telemedicine
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MDPI and ACS Style

López-Liria, R.; López-Villegas, A.; Leal-Costa, C.; Peiró, S.; Robles-Musso, E.; Bautista-Mesa, R.; Rocamora-Pérez, P.; Lappegård, K.T.; Catalán-Matamoros, D. Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study. Int. J. Environ. Res. Public Health 2020, 17, 1431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17041431

AMA Style

López-Liria R, López-Villegas A, Leal-Costa C, Peiró S, Robles-Musso E, Bautista-Mesa R, Rocamora-Pérez P, Lappegård KT, Catalán-Matamoros D. Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study. International Journal of Environmental Research and Public Health. 2020; 17(4):1431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17041431

Chicago/Turabian Style

López-Liria, Remedios, Antonio López-Villegas, César Leal-Costa, Salvador Peiró, Emilio Robles-Musso, Rafael Bautista-Mesa, Patricia Rocamora-Pérez, Knut T. Lappegård, and Daniel Catalán-Matamoros. 2020. "Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study" International Journal of Environmental Research and Public Health 17, no. 4: 1431. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17041431

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