Evidence map›Paper›PMID 33791078›Full record

ArticleWorld journal of cardiology2021

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area.

Kara Callum, Claudia Graune, Elizabeth Bowman, Edward Molden, Stephen J Leslie

Abstract read
In one paragraph

Article in World journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Remote Monitoring of CIEDs-For Both Safety, Economy and Convenience?International journal of environmental research and public health · 2021
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kara CallumDepartment of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.
Claudia GrauneDepartment of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.
Elizabeth BowmanDepartment of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.
Edward MoldenDepartment of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.
Stephen J LeslieDepartment of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom. stephen.leslie@nhs.scot.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.

aimTo determine if RM in patients with an ICD is associated with fewer inappropriate shocks and reduced time to medical assessment.

methodsThis was a single centre, retrospective observational study, involving 156 patients implanted with an ICD or CRT-D, followed up for 2 years post implant. Both appropriate and inappropriate shocks were recorded along with cause for inappropriate shocks and time to medical assessment.

resultsRM was associated with fewer inappropriate shocks (13.6% clinic

conclusionRM in patients with an ICD is associated with improved patient outcomes.

Indexed as

ArrythmiaCardiac patientsHeart failureImplantable cardioverter defibrillatorInappropriate shocksRemote monitoring

Identifiers

PMID33791078
PMCPMC7988594

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.