Publication:
Efectividad comparativa del seguimiento remoto a personas con marcapasos cardíacos frente al convencional: calidad de vida a los 6 meses

dc.affiliation.dptoUC3M. Departamento de Comunicaciónes
dc.contributor.authorLópez Villegas, Antonio
dc.contributor.authorCatalán Matamoros, Daniel Jesús
dc.contributor.authorRobles Musso, Emilio
dc.contributor.authorPeiro Moreno, Salvador
dc.date.accessioned2022-06-09T09:49:15Z
dc.date.available2022-06-09T09:49:15Z
dc.date.issued2015-04-01
dc.description.abstractFundamentos: El uso del seguimiento remoto (SR) de personas portadoras de marcapasos (MP) es limitado en comparación con la modalidad hospitalaria (SH), siendo escasa la evidencia científica que muestre su efectividad. El objetivo de este estudio fue comparar la calidad de vida en personas con diferentes modalidades de seguimiento. Métodos: Ensayo clínico controlado, no aleatorizado ni enmascarado, con recogida de datos pre y post-implante del marcapasos durante los 6 meses de seguimiento. Se seleccionó a todos los pacientes mayores de 18 años a los que se les implantó un marcapasos en el periodo de estudio (n=83), siendo asignados al grupo SR (n=30) o al grupo SH (n=53), en función de sus características personales y preferencias. Se analizaron las características basales y número de visitas al hospital, y se administró el cuestionario EuroQol-5D (EQ-5D) para evaluar la calidad de vida relacionada con la salud y el Duke Activity Status Index (DASI) para valorar la capacidad funcional. Resultados: No hubo diferencias significativas entre ambos grupos en relación al análisis basal, EQ-5D (SR:0,7299; SH:0,6769) y DASI (SR:21,41; SH:19,99) iniciales. A los 6 meses la calidad de vida mejoró enes
dc.description.abstractBackground: The use of remote follow-up (RF) of people with pacemakers (PM) is limited in comparison to the hospital modality (HS), being still poor the scientific evidence that shows their comparative effectiveness. The aim of this study was to compare the quality of life in individuals with different modalities of follow-up. Methods: Controlled, not randomized nor masked clinical trial, with data collection at pre and post-implantation of pacemakers during the 6 months follow-up. All patients over 18 years-old who were implanted a PM during the study period were selected (n=83), and they were assigned to RF (n=30) or HF (n=53) groups according to their personal characteristics and patient’s preferences. Baseline characteristics and number of visits to the hospital were analysed, the EuroQol-5D (EQ5D) questionnaire was administered to evaluate the health-related quality of life, and Duke Activity Status Index (DASI) to assess the functional capacity. Results: There were no significant differences between both groups in relation to the baseline analysis, EQ5D (RF:0.7299; HF:0.6769) and DASI (RF:21.41; HF:19.99). At 6 months the quality of life was improved in both groups (EQ5D RF:0.8613; HF:0.8175; p=0,439) still without significant differences between them. DASI score was similar to baseline (20.51 vs 21.80). RF group performed less transmissions/visits per patient (1.57) than hospital group (1.96; relative reduction 31%; p=0.015). Conclusions: Remote follow-up of people with pacemakers might be considered as an equivalent option to the hospital follow-up in relation to the quality of life and it reduces the number of hospital visits.en
dc.format.extent10es
dc.identifier.bibliographicCitationRevista Española de Salud Publica, Vol. 89, N.2 (2015), 149-158es
dc.identifier.issn1135-5727
dc.identifier.publicationfirstpage149es
dc.identifier.publicationissue2es
dc.identifier.publicationlastpage158es
dc.identifier.publicationtitleRevista Española de Salud Públicaes
dc.identifier.publicationvolume89es
dc.identifier.urihttps://hdl.handle.net/10016/35052
dc.identifier.uxxiAR/0000017354
dc.language.isospaes
dc.publisherMinisterio de Sanidad y Consumoes
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.accessRightsopen accesses
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subject.ecienciaMedicinaes
dc.subject.otherCalidad de Vidaes
dc.subject.otherInvestigación de Efectividad Comparativaes
dc.subject.otherMarcapasos Cardíaco Artificiales
dc.subject.otherEstudios de Seguimientoes
dc.subject.otherConsulta Remotaes
dc.subject.otherTelemedicinaes
dc.subject.otherQuality of Lifees
dc.subject.otherComparative Effectiveness Researches
dc.subject.otherArtificial Pacemakerses
dc.subject.otherFollow-Up Studieses
dc.subject.otherRemote Consultationes
dc.subject.otherTelemedicinees
dc.titleEfectividad comparativa del seguimiento remoto a personas con marcapasos cardíacos frente al convencional: calidad de vida a los 6 meseses
dc.title.alternativeComparative Effectiveness of Remote Monitoring of People with Cardiac Pacemaker versus Conventional: Quality of Life at the 6 Monthsen
dc.typeresearch article*
dc.type.hasVersionVoR*
dspace.entity.typePublication
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