RT Journal Article
T1 Efectividad comparativa del seguimiento remoto a personas con marcapasos cardíacos frente al convencional: calidad de vida a los 6 meses
T2 Comparative Effectiveness of Remote Monitoring of People with Cardiac Pacemaker versus Conventional: Quality of Life at the 6 Months
A1 López Villegas, Antonio
A1 Catalán Matamoros, Daniel Jesús
A1 Robles Musso, Emilio
A1 Peiro Moreno, Salvador
AB Fundamentos: El uso del seguimiento remoto (SR) de personas portadoras de marcapasos (MP) es limitado en comparación con la modalidadhospitalaria (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 alos 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 suscaracterísticas personales y preferencias. Se analizaron las característicasbasales y número de visitas al hospital, y se administró el cuestionario EuroQol-5D (EQ-5D) para evaluar la calidad de vida relacionada con la saludy el Duke Activity Status Index (DASI) para valorar la capacidad funcional.Resultados: No hubo diferencias significativas entre ambos gruposen 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 en
AB Background: The use of remote follow-up (RF) of people with pacemakers (PM) is limited in comparison to the hospital modality (HS), beingstill poor the scientific evidence that shows their comparative effectiveness.The aim of this study was to compare the quality of life in individuals withdifferent modalities of follow-up.Methods: Controlled, not randomized nor masked clinical trial, withdata collection at pre and post-implantation of pacemakers during the 6months follow-up. All patients over 18 years-old who were implanted a PMduring the study period were selected (n=83), and they were assigned toRF (n=30) or HF (n=53) groups according to their personal characteristicsand patient’s preferences. Baseline characteristics and number of visits tothe hospital were analysed, the EuroQol-5D (EQ5D) questionnaire was administered to evaluate the health-related quality of life, and Duke ActivityStatus Index (DASI) to assess the functional capacity.Results: There were no significant differences between both groups inrelation 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 bothgroups (EQ5D RF:0.8613; HF:0.8175; p=0,439) still without significantdifferences between them. DASI score was similar to baseline (20.51 vs21.80). RF group performed less transmissions/visits per patient (1.57) thanhospital group (1.96; relative reduction 31%; p=0.015).Conclusions: Remote follow-up of people with pacemakers might beconsidered as an equivalent option to the hospital follow-up in relation to thequality of life and it reduces the number of hospital visits.
PB Ministerio de Sanidad y Consumo
SN 1135-5727
YR 2015
FD 2015-04-01
LK https://hdl.handle.net/10016/35052
UL https://hdl.handle.net/10016/35052
LA spa
DS e-Archivo
RD 1 sept. 2024