心脏植入性器械患者常规随访的时间和费用调查  

The time and fee cost of conventional follow-up for cardiac implanted electrical device patients

作　　者：陈若菡[1] 陈柯萍[1] 单其俊[2] 徐伟[3] 梁兆光[4] 刘兴斌[5] 汤宝鹏[6] 刘启明[7] 齐向前[8] 张澍[1] 

机构地区：[1]中国医学科学院,北京协和医学院,国家心血管病中心,心血管疾病国家重点实验室,阜外医院心律失常中心,北京100037 [2]江苏省人民医院 [3]南京鼓楼医院 [4]哈尔滨医科大学附属第一医院 [5]四川大学华西医院 [6]新疆医科大学第一附属医院 [7]中南大学湘雅二医院 [8]泰达国际心血管病医院

出　　处：《中国心脏起搏与心电生理杂志》2017年第1期8-11,共4页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的评估常规随访对心脏植入性器械(CIED)患者生活影响,包括时间、费用和人力成本。方法本研究为多中心、前瞻性、观察性研究。CIED患者术后3个月到医院接受常规随访,并完善随访花费时间和费用的问卷调查。结果 2012年1月至2013年10月共入选161例患者,其中起搏器患者82例,埋藏式心脏转复除颤器患者39例,心脏再同步化治疗患者40例。患者年龄(62.3±14.29)岁,其中男性108例(67.08%)。患者平均花费150元。患者路途用时、挂号开单用时、检查前等待及检查时间分别为120、40、30及15 min,76.7%的患者需要陪同人员一同前往医院,67%的陪同人员需要请假。结论患者路途及检查前花费时间及由此产生住宿和交通的费用,大大增加了患者常规诊室随访的成本,远程监测随访可望大大节省患者的时间及金钱成本。Objective To appraise the influence of conventional follow-up on the cardiac implanted electric devices （CIED） patients. Methods This was a multicenter, perspective and observational study, which enrolled patients who had been treated with CIED including pacemaker, implantable cardioverter defibrillators（ICD） and cardiac re- synchronization therapy（CRT）. The patients were asked to do questionnaires about time and fee cost for the routine- ly follow-up 3 months after implantation. Results Totally 161 patiens from 12 medical centers, mean age of （ 62. 3±14.29）years old,67.08% male, were enrolled from January 2012 to October 2013. The average fee for follow-up was 150 yuan, mostly for the transportation and accommodation. The time-comsuming for transportation, register, periexamine waiting and CIED check-up was 120 min,40 min, 30 min and 15 min, respectively. 76.7% patients need family member company, 67% family member need ask for a leave. Conclusions The time consuming for transportation is a major component of the overall time-cost of conventional follow-up, so is the fee. Telemedi- cine-assisted long-term care may considerably reduce the time and fee cost.

关 键 词：心血管病学 心脏植入性器械 常规随访 问卷调查 

分 类 号：R318.11[医药卫生—生物医学工程]