Evidence-based in tele-monitoring of patients with pacemakers: The Poniente Study

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dc.contributor.author López Villegas, Antonio
dc.contributor.author Catalán Matamoros, Daniel Jesús
dc.contributor.author Robles-Musso Castillo, Emilio
dc.contributor.author Peiró, Salvador
dc.contributor.other Universidad Carlos III de Madrid. Departamento de Periodismo y Comunicación Audiovisual
dc.contributor.other Asociación Española de Comunicación Sanitaria
dc.date.accessioned 2016-02-12T08:56:15Z
dc.date.available 2016-02-12T08:56:15Z
dc.date.issued 2015-10-23
dc.identifier.bibliographicCitation López Villegas, A. et al. 2015. Evidence-based in tele-monitoring of patients with pacemakers: The Poniente Study. II Conferencia Internacional de Comunicación en Salud (23/10/2015). Universidad Carlos III de Madrid
dc.identifier.uri http://hdl.handle.net/10016/22281
dc.description Seminario desarrollado en la Segunda Conferencia Internacional de Comunicación en Salud, celebrada el 23 de octubre de 2015 en la Universidad Carlos III de Madrid
dc.description.abstract Background: Cardiac consultations are overloaded due to the increase in the number of implanted pacemakers during the last years. With the support of tele-monitoring systems, this situation is changing. But it is unknown if this technology is cost-efficient regarding to the sustainability of National Health System. Objectives: Examine the Health-Related Quality of Life (HRQoL), reliability and costs of patients using pacemakers compatible with the remote monitoring system. Methods: In this trial we selected consecutive 82 subjects among all patients who had been implanted with a pacemaker in Poniente Hospital (Almeria-Spain), between 2012-14 with a follow-up of 12 months/patient. At the same time 2 groups were created: Tele-Monitoring Group (TM=30) and Hospital Monitoring Group (HM=52): 1) The same parameters were analyzed in both groups at 4 different moments (pre-implant and months 1, 6 and 12 post-implantation). 2) Effectiveness was assessed through the administration of EuroQol-5D (EQ-5D) and Duke Activity Status Index (DASI). 3) Direct costs were estimated by micro-cost calculation and from National Health System perspective. Results: No significant differences were found between both groups according to sociodemographic characteristics and effectiveness according to EQ5D and DASI. Hospital visits were reduced in 40,79% (p<0,001) in the RM. Healthcare costs per patient were 36,35% (p<0.001) lower on remote monitoring mode. Conclusions: Although patients with pacemakers showed a similar rating in HRQoL in both groups, costs were significantly higher in hospital monitoring. This study showed that the tele-monitoring of patients with pacemakers is cost-efficient.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.rights Atribución-NoComercial-SinDerivadas 3.0 España
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subject.other Salud
dc.subject.other Cost-effectiveness
dc.subject.other Pacemakers follow-up
dc.subject.other Quality of life
dc.subject.other Remote monitoring
dc.subject.other Telemedicine
dc.title Evidence-based in tele-monitoring of patients with pacemakers: The Poniente Study
dc.type conferenceObject
dc.subject.eciencia Ciencias de la Información
dc.subject.eciencia Medicina
dc.rights.accessRights openAccess
dc.type.version publishedVersion
dc.relation.eventdate 23 de octubre de 2015
dc.relation.eventnumber 2
dc.relation.eventplace Getafe (Madrid)
dc.relation.eventtitle Conferencia Internacional de Comunicación en Salud
dc.relation.eventtype presentation
dc.identifier.publicationtitle II Conferencia Internacional de Comunicación en Salud (23/10/2015). Universidad Carlos III de Madrid
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