Remote monitoring of implantable cardioverters defibrillators:a comparison of acceptance between octogenarians and younger patients  

作　　者：Iva Safarikova Alan Bulava Premysl Hajek 

机构地区：[1]Faculty of Health and Social Sciences,the University of South Bohemia in Ceske Budejovice,Ceske Budejovice,Czech Republic [2]Cardiac Center,Department of Cardiology,Ceske Budejovice Hospital,Ceske Budejovice,Czech Republic [3]Faculty of Medicine and Dentistry of Palacky University Olomouc,Olomouc,Czech Republic

出　　处：《Journal of Geriatric Cardiology》2020年第7期417-426,共10页老年心脏病学杂志（英文版）

基　　金：the Grant Agency of the University of South Bohemia in Ceske Budejovice(project registration No.GAJU 079/2019/S);the Foundation Cardiac Center Ceske Budejovice for their financial support covering article processing and publication charges。

摘　　要：Background Remote monitoring(RM)is increasingly employed for all types of cardiac implantable devices(CIED).However,there are only limited data on the acceptance of RM by the elderly.The aim of our study was to ascertain how octogenarians assess RM technologies compared to younger,presumably technically more literate patients,and what concerns or technical problems the system presents to both groups of patients.Methods The trial was designed as a descriptive,register-based single-center study.The study population consisted of all consecutive patients≥80 years of age(group A,n=94)and all consecutive patients aged≤40 years(group B,n=71),who had undergone implantation of an implantable cardioverter-defibrillator(ICD)between the years of 2009 and 2018 and were using a Home Monitoring?(HM,Biotronik,Berlin,Germany)system.All patients fulfilling entry criteria were approached with a request to participate in the survey.Results A total of 85(90.4%)and 65(91.5%)valid surveys were obtained for groups A and B,respectively.Ninety-two percent of patients in both groups(P=0.903)were satisfied with the limited number of planned ambulatory follow-ups(i.e.,once a year).All patients in both groups(100%)reported that they were satisfied with the HM system,and 97%and 94%of patients in Groups A and B,respectively,ranked it highly beneficial(P=0.68).A significant proportion of patients in both groups were completely unaware of any health-related benefits associated with the use of the HM system(42%in Group A vs.49%in Group B,P=0.4).Among the most frequently reported personal benefits of HM were a sense of safety and security and savings on travel expenses and time.5%and 9%of patients in Groups A and B,respectively,reported that usage of HM caused them some degree of psychological stress(P=0.27).Nearly all patients in both groups reported receiving information on HM from their doctor after ICD implantation.None of Group A reported receiving information from a nurse either before or after ICD implantation,while 14%of Group B patient

关 键 词：Education Implantable electronic devices Remote monitoring The elderly 

分 类 号：R541.7[医药卫生—心血管疾病]