Arrhythmias & electrophysiology
Impact of a universal monitoring system (“third party”) on outcomes of ICD patients: A nationwide study
Authors' conclusion
RM was associated with improved survival in ICD recipients. Importantly, we found that use of UMS was associated with additional improvement in clinical outcomes, including survival and hospitalizations.
Study context
- Population
- ICD patients in the French nationwide health database, 2019
- Participants
- 69,394 patients
- Exposure
- Remote monitoring (RM) vs no RM; Universal monitoring system (UMS) vs conventional RM
- Outcome
- Adjusted annual mortality and hospitalizations (all-cause, HF, number, duration)
- Follow-up
- 1 year (2019)
Methodological detailsnationwide
- Nationwide
Main finding
As reported in the abstract
Mortality
Hazard ratio (95% CI)P value
RMvs no-RM
0.96(0.95–0.97)
P < 0.001UMSvs Conventional RM
0.74(0.73–0.77)
P < 0.001Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | P value | |
|---|---|---|---|
| Cumulative duration of all-cause hospitalizationsRMvs no-RMHospitalizations increased in number | 0.98 (0.98–0.99) | P < 0.001 | |
| All-cause and HF hospitalizationsUMSvs Conventional RM | 0.96 (0.95–0.97) | P < 0.001 | |
| Hospital stay durationUMSvs Conventional RM | 0.96 (0.95–0.97) | P < 0.001 | |
| 0.512Hazard ratio (log scale) |
Original publication
Impact of a universal monitoring system (“third party”) on outcomes of ICD patients: A nationwide study. Heart Rhythm. Published 22 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →