Arrhythmias & electrophysiology
A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices
Authors' conclusion
A remotely delivered patient-centered intervention was associated with earlier activation and improved adherence to RM while reducing disparities in RM care.
Study context
- Population
- Patients implanted with a pacemaker or defibrillator at US clinics, October 2015–October 2019 (mean age 71.6 ± 12.7 years, 40.5% female)
- Participants
- 190,643 patients
- Exposure
- Remotely delivered patient-centred remote monitoring (RM) intervention vs pre-intervention care
- Interventionn = 94,782
- Controln = 95,861reference
- Outcome
- RM activation and adherence to clinic-scheduled transmissions
- Follow-up
- 12 weeks and 1 year postimplantation
Methodological details4,195 US clinics, before–after comparison
- 4,195 US clinics
- Before–after comparison
Main finding
As reported in the abstract
Odds ratio
2.99
P < 0.001
RM activation at 12 weeks: 76.7% vs 60.9%
Odds ratio
3.05
P < 0.001
RM activation at 1 year: 88.2% vs 79.3%
Odds ratio
2.18
P < 0.001
Adherence to scheduled transmissions: 89.1% vs 81.9%
Observational data: associations, not effects.
Further findings
Disparities in RM activation and adherence in underserved groups
- Preintervention disparities reduced in underserved groups following the intervention
Original publication
A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices. JACC Clin Electrophysiol. Published 22 November 2023. doi:10.
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