Cardiovascular Disease Clinical Trial
Official title:
Sustainability of Cardiology Services: Economic Evaluation and Communication in Remote Monitoring of People With Pacemakers.
The purpose of this research is to estimate the outcomes in health and cost of the follow-up
of patients with pacemakers.
The initial hypothesize of this study is that remote monitoring of pacemaker will show a best
relation of outcomes in costs and effectiveness than the conventional follow-up in hospital.
Cardiovascular Diseases are a major cause of global morbidity and mortality, being
responsible according to the World Health Organization of the 30% of overall mortality.
Since 2001 that the first pacemaker of remote monitoring was implanted in Europe, more than
300,000 pacemaker have been implanted around the world. Despite this sharp expansion, the
scientific evidence on economic evaluations of pacemaker with remote monitoring is very
limited, and in our knowledge, studies including informal costs have not been conducted.
In the field of cardiology, telemedicine allows consultations with patients through
monitoring systems and remote communication analyzing the ongoing heart rates of people with
pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy and
subcutaneous Holter. The use of remote monitoring may save time and efforts to both
healthcare professionals and patients, including their informal caregivers, reducing the
number of follow up visits to the hospital and reducing the associated costs with patient
follow-up, which will help to improve sustainability of healthcare services.
During the 06 months of study, the patients with implant of pacemakers of both groups will be
assessed of the same parameters, in 3 different moments (pre-implant and months 1, and 6
post-implantation).
Pacemakers that are going to be used in the project:
1. Remote monitoring group: Biotronik Estella SR-T and DR-T & Biotronik Evia SR-T and DR-T.
2. Hospital monitoring group: St Jude Medical Endurity SR and DR & Sorin Reply 200 SR and
DR.
The study will estimate: 1) The Clinical features of the patients. 2) The effectiveness
through of administration of Health-Related Quality of Life questionnaires and 3) Finally,
hospital and informal costs of patients with pacemakers will be estimated by the researches.
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