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Master Thesis

Télémédecine : réseau Aquitain de télésurveillance des prothèses cardiaques implantées. Caractéristiques des patients implantés et revue des évènements télétransmis depuis son lancement au CH de Libourne

Abstract : Background: several prospective randomized trials have demonstrated the feasibility, safety and efficacy of remote management. Remote monitoring introduction to routine clinical practice is challenged by resource allocation for regular data review The South West France remote monitoring network for cardiac implantable devices is a centralized model of remote monitoring. Objective: we tested the feasibility, interest, workload, and clinical usefulness of a centralized remote monitoring network for the Libourne hospital. Methods : we have prospectively collected all the transmitted events and the medical interventions from the Libourne’s patients between October 2012 and December 2015. Results : 187 patients from the Libourne hospital have been enrolled in the largest network of remote monitoring in France, among which 100% of the implanted cardioverter defibrillators. During a mean follow-up of 22+/-10 months the monitor center received 4166 transmissions from the Libourne’s patients. On a mean the Libourne’s hospital received 76 alerts/100 patients/year, corresponding to a 93.3% reduction in the total transmitted events and a 86% reduction in transmitted alerts. The mean time to medical intervention was 19,1 ± 14,7 days. Conclusion : the South West remote monitoring network is a unique organization which includes the largest patient cohort in France. This centralized remote monitoring model may facilitate remote monitoring deployment across the country.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01486047
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, March 9, 2017 - 3:59:47 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:35 PM
Long-term archiving on: : Saturday, June 10, 2017 - 2:43:20 PM

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Jérémy Ferlicot. Télémédecine : réseau Aquitain de télésurveillance des prothèses cardiaques implantées. Caractéristiques des patients implantés et revue des évènements télétransmis depuis son lancement au CH de Libourne . Médecine humaine et pathologie. 2017. ⟨dumas-01486047⟩

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