Impact of Remote Monitoring on Long-Term Prognosis in Heart Failure Patients in a Real-World Cohort: Results From All-Comers COMMIT-HF Trial.
Remote Monitoring in Real-World Cohort Background Randomized controlled trials demonstrate that remote monitoring (RM) of implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy devices (CRT-Ds) may improve quality of care and prognosis in heart failure (HF) patients. Ho...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 28; no. 4; pp. 425 - 432 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122602803&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122602803 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: Apr2017 vid: 28 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 122602803 122602803 122602803 10.1111/jce.13174 122602803 ppf: 425 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of Remote Monitoring on Long-Term Prognosis in Heart Failure Patients in a Real-World Cohort: Results From All-Comers COMMIT-HF Trial. aug: au: KUREK, ANNA TAJSTRA, MATEUSZ GADULA‐GACEK, ELZBIETA BUCHTA, PIOTR SKRZYPEK, MICHAL PYKA, LUKASZ WASIAK, MICHAL SWIETLINSKA, MALGORZATA HAWRANEK, MICHAL POLONSKI, LECH GASIOR, MARIUSZ KOSIUK, JEDRZEJ affil: 3rd Department of Cardiology, Silesian Centre for Heart Diseases, Medical University of Silesia, Zabrze Poland sug: subj: Remote Access to Information Outcomes (Health Care) Monitoring, Physiologic Heart Failure Diagnosis Human Defibrillators, Implantable Equipment and Supplies Cardiac Resynchronization Therapy Cardiac Patients Prospective Studies Patient Assessment Patient History Taking Hospitalization Mortality Data Collection Control Group Middle Age Male Female Heart Diseases Classification Kidney Failure, Chronic Diabetes Mellitus Hypertension Diagnosis Hyperlipidemia Angiotensin-Converting Enzyme Inhibitors Angiotensin II Type I Receptor Blockers Statins Data Analysis Software Middle Aged: 45-64 years Male Female ab: Remote Monitoring in Real-World Cohort Background Randomized controlled trials demonstrate that remote monitoring (RM) of implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy devices (CRT-Ds) may improve quality of care and prognosis in heart failure (HF) patients. However, the impact of RM on long-term mortality in a real-world cohort is still not well examined. Methods and Results This study was designed as a matched cohort study based on the COMMIT-HF trial--a single-center, ongoing prospective observational registry (NCT02536443). Complete patient demographics, medical history, in-hospital results, hospitalizations, and mortality data were collected based on institutional registries and healthcare providers' records. Patients were divided into 2 groups based on RM presence and matched by means of propensity scores according to clinical characteristics. The primary endpoint of this study was the long-term all-cause mortality. Out of 1,429 consecutive patients, 822 patients with a first implantation of an ICD/CRT-D were included in the analysis. The final matched study population contained 574 patients in RM and in a control group. Although demographic and echocardiographic parameters as well as pharmacological treatments were similar in both groups, a significantly lower 1-year mortality was detected in the RM group (2.1% vs. 11.5%, P < 0.0001). This was also maintained during a 3-year follow-up (4.9% vs. 22.3%, P < 0.0001). Multivariate analysis showed that RM was associated with an improved prognosis (hazard ratio 0.187, 95% confidence interval 0.075-0.467, P = 0.0003). Conclusion RM of HF patients with ICDs/CRT-Ds significantly reduced long-term mortality in a real-world clinical condition. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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