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Remote monitoring of cardiac implantable electronic devices using smart device interface versus radiofrequency-based interface: A systematic review.
Remote monitoring of cardiac implantable electronic devices using smart device interface versus radiofrequency-based interface: A systematic review.
- Source :
- Journal of Arrhythmia; Jun2024, Vol. 40 Issue 3, p596-604, 9p
- Publication Year :
- 2024
-
Abstract
- Background: Guidelines recommended remote monitoring (RM) in managing patients with Cardiac Implantable Electronic Devices. In recent years, smart device (phone or tablet) monitoring-based RM (SM-RM) was introduced. This study aims to systematically review SM-RM versus bedside monitor RM (BM-RM) using radiofrequency in terms of compliance, connectivity, and episode transmission time. Methods: We conducted a systematic review, searching three international databases from inception until July 2023 for studies comparing SM-RM (intervention group) versus BM-RM (control group). Results: Two matched studies (21 978 patients) were retrieved (SM-RM arm: 9642 patients, BM-RM arm: 12 336 patients). There is significantly higher compliance among SM-RM patients compared with BM-RM patients in both pacemaker and defibrillator patients. Manyam et al. found that more SM-RM patients than BM-RM patients transmitted at least once (98.1% vs. 94.3%, p < .001), and Tarakji et al. showed that SM-RM patients have higher success rates of scheduled transmissions than traditional BM-RM methods (SM-RM: 94.6%, pacemaker manual: 56.3%, pacemaker wireless: 77.0%, defibrillator wireless: 87.1%). There were higher enrolment rates, completed scheduled and patient-initiated transmissions, shorter episode transmission time, and higher connectivity among SM-RM patients compared to BM-RM patients. Younger patients (aged <75) had more patient-initiated transmissions, and a higher proportion had ≥10 transmissions compared with older patients (aged ≥75) in both SM-RM and BM-RM groups. Conclusion: SM-RM is a step in the right direction, with good compliance, connectivity, and shorter episode transmission time, empowering patients to be in control of their health. Further research on cost-effectiveness and long-term clinical outcomes can be carried out. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL information storage & retrieval systems
PATIENT compliance
SMARTPHONES
DESCRIPTIVE statistics
ASSISTIVE technology
SYSTEMATIC reviews
MEDLINE
IMPLANTABLE cardioverter-defibrillators
BIOTELEMETRY
MEDICAL databases
CARDIAC pacemakers
ONLINE information services
CONFIDENCE intervals
TIME
Subjects
Details
- Language :
- English
- ISSN :
- 18832148
- Volume :
- 40
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Journal of Arrhythmia
- Publication Type :
- Academic Journal
- Accession number :
- 178722935
- Full Text :
- https://doi.org/10.1002/joa3.13054