A semi-automatic algorithm for reducing the time spent on routine follow-up of cardioverter defibrillators.
Int J Artif Organs
; 24(3): 140-4, 2001 Mar.
Article
en En
| MEDLINE
| ID: mdl-11314807
ABSTRACT
BACKGROUND:
The routine follow-up of cardioverter defibrillators (CD) is a time-consuming procedure. AIM of the STUDY andMETHODS:
The present study was a prospective randomized cross-over evaluation on the clinical usefulness of a specific semi-automatic software algorithm (Quick Check) for CD follow-up, available in CPI Guidant systems (CD and programmer). Time-saving, while ensuring all the required data and patient safety, was evaluated in a large group of patients (105), recruited in different centers. In the same session and under a physician's supervision all patients underwent a follow-up with the aid of Quick Check or a standard follow-up, in a randomized sequence. Each patient served as his own control.RESULTS:
In the overall population of 105 patients, the time spent for follow-up was reduced by Quick Check from 186+/-105 sec to 106+/-67 sec (p<0.0001) (43% reduction). The reduction in time spent for follow-up with Quick Check was the same (43% reduction) in patients with detected episodes (n=38) (from 241+/-144 sec to 138+/-95 sec (p<0.0001)) and in patients without detected episodes (n=67) (from 154+/-52 sec to 88+/-34 sec (p<0. 0001)). No adverse events or deletion of potentially useful data was detected by the supervising physician.CONCLUSIONS:
Use of a specific software algorithm for routine follow-up of implanted CDs allows a significant shortening of the time spent on routine follow-up, thus reducing costs. The supervision of a physician is a guarantee of patient safety.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Algoritmos
/
Programas Informáticos
/
Taquicardia Ventricular
/
Desfibriladores Implantables
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Int J Artif Organs
Año:
2001
Tipo del documento:
Article
País de afiliación:
Italia