Remote Supervision to Decrease Hospitalization Rate (RESULT) study in patients with implanted cardioverter-defibrillator
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Le résumé fourni par la source
AIMS: The number of patients with heart failure (HF) and implantable cardiac electronic devices has been growing steadily. Remote monitoring care (RC) of cardiac implantable electronic devices can facilitate patient-healthcare clinical interactions and prompt preventive activities to improve HF outcomes. However, studies that have investigated the efficacy of remote monitoring have shown mixed findings, with better results for the system including daily verification of transmission. The purpose of the RESULT study was to analyse the impact of remote monitoring on clinical outcomes in HF patients with implantable cardioverter-defibrillator [ICD/cardiac resynchronization therapy-defibrillator (CRT-D)] in real-life conditions. METHODS AND RESULTS: The RESULT is a prospective, single-centre, randomized trial. Patients with HF and de novo ICD or CRT-D implantation were randomized to undergo RC vs. in-office follow-ups (SC, standard care). The primary endpoint was a composite of all-cause death and hospitalization due to cardiovascular reasons within 12 months after randomization. We randomly assigned 600 eligible patients (299 in RC vs. 301 in SC). Baseline clinical and echocardiographic characteristics were well-balanced and similar in both arms. The incidence of the primary endpoint differed significantly between RC and SC and involved 39.5% and 48.5% of patients, respectively, (P = 0.048) within the 12-month follow-up. The rate of all-cause mortality was similar between the studied groups (6% vs. 6%, P = 0.9), whereas hospitalization rate due to cardiovascular reasons was higher in SC (37.1% vs. 45.5%, P = 0.045). CONCLUSION: Remote monitoring of HF patients with implanted ICD or CRT-D significantly reduced the primary endpoint rate, mostly as a result of a lower hospitalization rate in the RC arm (ClinicalTrials.gov Identifier: NCT02409225).
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Remote Supervision to Decrease Hospitalization Rate (RESULT) study in patients with implanted cardioverter-defibrillator
- Date Crossref
- 18/04/2020
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Medical University of Silesia Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Silesian Center for Heart Disease pays non établi dans la noticeOrganisation à but non lucratif
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American Heart of Poland pays non établi dans la noticeOrganisation à but non lucratif
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Akademii Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Medical Sciences in Zabrze pays non établi dans la noticeUniversité ou école supérieure
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Centre for Cardiovascular Research and Development pays non établi dans la noticeInstitution
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The Jerzy Kukuczka Academy of Physical Education pays non établi dans la noticeInstitution
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School of Medicine with Dentistry Division in Zabrze pays non établi dans la noticeUniversité ou école supérieure
Department of Cardiology — Medical University of Silesia, Silesian Center for Heart Disease et American Heart of Poland, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.