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Europace Advance Access originally published online on September 4, 2008
Europace 2008 10(12):1392-1399; doi:10.1093/europace/eun250
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that the original authorship is properly and fully attributed; the Journal, Learned Society and Oxford University Press are attributed as the original place of publication with correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions©oxfordjournals.org.

Home monitoring

Optimized post-operative surveillance of permanent pacemakers by home monitoring: the OEDIPE trial

Franck Halimi1,*, Jacques Clémenty2, Patrick Attuel1, Xavier Dessenne3, Walid Amara4 on behalf of the OEDIPE trial Investigators

1 Centre Médico-Chirurgical, Parly 2, 21 rue Moxouris, 78150 Le Chesnay, France; 2 Centre Hospitalier Régional Universitaire, Haut Lévèque, Pessac, France; 3 Clinique du Mousseau, Evry, France; 4 Centre Hospitalier Intercommunal de Montfermeil, Montfermeil, France

Aims: The OEDIPE trial examined the safety and efficacy of an abbreviated hospitalization after implantation or replacement of dual-chamber pacemakers (PM) using a telecardiology-based ambulatory surveillance programme.

Methods and results: Patients were randomly assigned to (i) an active group, discharged from the hospital 24 h after a first PM implant or 4–6 h after replacement, and followed for 4 weeks with Home-Monitoring (HM), or (ii) a control group followed for 4 weeks according to usual medical practices. The primary objective was to confirm that the proportion of patients who experienced one or more major adverse events (MAE) was not higher in the active than in the control group. The study included 379 patients. At least one treatment-related MAE was observed in 9.2% of patients (n = 17) assigned to the active group vs. 13.3% of patients (n = 26) in the control group (P = 0.21), a 4.1% absolute risk reduction (95% CI –2.2 to 10.4; P = 0.98). By study design, the mean hospitalization duration was 34% shorter in the active than in the control group (P < 0.001), and HM facilitated the early detection of technical issues and detectable clinical anomalies.

Conclusion: Early discharge with HM after PM implantation or replacement was safe and facilitated the monitoring of patients in the month following the procedure.

Key Words: Telecardiology, Telemedicine, Ambulatory monitoring, Pacemaker implantation

* Corresponding author. Tel: +33 1 39 23 86 19; fax: +33 1 39 23 86 18.E-mail address: franck.halimi{at}club-internet.fr

Manuscript submitted 8 June 2008. Accepted after revision 13 August 2008.


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