Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients

Aims: The objective of this study was to perform a cost-benefit analysis of the CardioMEMS HF System (Abbott Laboratories, Abbott Park, IL, USA) in a heart failure (HF) clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has been shown to reduce HF-rela...

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Autores: Codina, Pau|||0000-0002-2469-5711, Vicente Gómez, José Ángel, Hernández Guillamet, Guillem, Ricou Ríos, Laura, Carrete, Andrea, Vilalta, Victoria|||0000-0003-1767-5963, Estrada Cuxart, Oriol|||0000-0003-1414-5000, Ara del Rey, Jordi|||0000-0002-7281-9969, Lupón, Josep|||0000-0002-5601-9611, Bayés-Genís, Antoni|||0000-0002-3044-197X, López Seguí, Francesc
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:302187
Acceso en línea:https://ddd.uab.cat/record/302187
https://dx.doi.org/urn:doi:10.1002/ehf2.14698
Access Level:acceso abierto
Palabra clave:Heart failure
Hospitalizations
Monitoring
Pulmonary pressure sensor
Cost-benefit
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spelling Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patientsa cost-benefit analysisCodina, Pau|||0000-0002-2469-5711Vicente Gómez, José ÁngelHernández Guillamet, GuillemRicou Ríos, LauraCarrete, AndreaVilalta, Victoria|||0000-0003-1767-5963Estrada Cuxart, Oriol|||0000-0003-1414-5000Ara del Rey, Jordi|||0000-0002-7281-9969Lupón, Josep|||0000-0002-5601-9611Bayés-Genís, Antoni|||0000-0002-3044-197XLópez Seguí, FrancescHeart failureHospitalizationsMonitoringPulmonary pressure sensorCost-benefitAims: The objective of this study was to perform a cost-benefit analysis of the CardioMEMS HF System (Abbott Laboratories, Abbott Park, IL, USA) in a heart failure (HF) clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has been shown to reduce HF-related hospitalizations and improve the quality of life for selected HF patients. Particularly, the study aimed to determine the value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower and its effectiveness remains uncertain. Methods and results: This single-centre study enrolled all consecutive HF patients (N = 43) who had been implanted with a pulmonary artery pressure sensor (CardioMEMS HF System); 48.8% were females, aged 75.5 ± 7.0 years, with both reduced and preserved left ventricular ejection fraction; 67.4% of them were in New York Heart Association Class III. The number of HF hospitalizations in the year before and the year after the sensor implantation was compared. Quality-adjusted life years gained based on a literature review of previous studies were calculated. The rate of HF hospitalizations was significantly lower at 1 year compared with the year before CardioMEMS implantation (0.25 vs. 1.10 events/patient-year, hazard ratio 0.22, P = 0.001). At the end of the first year, the usual management outperformed the CardioMEMS HF System. By the end of the second year, the CardioMEMS system is estimated to reduce costs compared with usual management (net benefits of €346). Conclusions: Based on the results, we suggest that remote monitoring of pulmonary artery pressure with the CardioMEMS HF System represents a midterm and long-term efficient strategy in a healthcare setting in Southern Europe. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/302187https://dx.doi.org/urn:doi:10.1002/ehf2.14698reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3021872026-06-06T12:50:31Z
dc.title.none.fl_str_mv Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
a cost-benefit analysis
title Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
spellingShingle Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
Codina, Pau|||0000-0002-2469-5711
Heart failure
Hospitalizations
Monitoring
Pulmonary pressure sensor
Cost-benefit
title_short Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
title_full Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
title_fullStr Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
title_full_unstemmed Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
title_sort Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients
dc.creator.none.fl_str_mv Codina, Pau|||0000-0002-2469-5711
Vicente Gómez, José Ángel
Hernández Guillamet, Guillem
Ricou Ríos, Laura
Carrete, Andrea
Vilalta, Victoria|||0000-0003-1767-5963
Estrada Cuxart, Oriol|||0000-0003-1414-5000
Ara del Rey, Jordi|||0000-0002-7281-9969
Lupón, Josep|||0000-0002-5601-9611
Bayés-Genís, Antoni|||0000-0002-3044-197X
López Seguí, Francesc
author Codina, Pau|||0000-0002-2469-5711
author_facet Codina, Pau|||0000-0002-2469-5711
Vicente Gómez, José Ángel
Hernández Guillamet, Guillem
Ricou Ríos, Laura
Carrete, Andrea
Vilalta, Victoria|||0000-0003-1767-5963
Estrada Cuxart, Oriol|||0000-0003-1414-5000
Ara del Rey, Jordi|||0000-0002-7281-9969
Lupón, Josep|||0000-0002-5601-9611
Bayés-Genís, Antoni|||0000-0002-3044-197X
López Seguí, Francesc
author_role author
author2 Vicente Gómez, José Ángel
Hernández Guillamet, Guillem
Ricou Ríos, Laura
Carrete, Andrea
Vilalta, Victoria|||0000-0003-1767-5963
Estrada Cuxart, Oriol|||0000-0003-1414-5000
Ara del Rey, Jordi|||0000-0002-7281-9969
Lupón, Josep|||0000-0002-5601-9611
Bayés-Genís, Antoni|||0000-0002-3044-197X
López Seguí, Francesc
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Heart failure
Hospitalizations
Monitoring
Pulmonary pressure sensor
Cost-benefit
topic Heart failure
Hospitalizations
Monitoring
Pulmonary pressure sensor
Cost-benefit
description Aims: The objective of this study was to perform a cost-benefit analysis of the CardioMEMS HF System (Abbott Laboratories, Abbott Park, IL, USA) in a heart failure (HF) clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has been shown to reduce HF-related hospitalizations and improve the quality of life for selected HF patients. Particularly, the study aimed to determine the value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower and its effectiveness remains uncertain. Methods and results: This single-centre study enrolled all consecutive HF patients (N = 43) who had been implanted with a pulmonary artery pressure sensor (CardioMEMS HF System); 48.8% were females, aged 75.5 ± 7.0 years, with both reduced and preserved left ventricular ejection fraction; 67.4% of them were in New York Heart Association Class III. The number of HF hospitalizations in the year before and the year after the sensor implantation was compared. Quality-adjusted life years gained based on a literature review of previous studies were calculated. The rate of HF hospitalizations was significantly lower at 1 year compared with the year before CardioMEMS implantation (0.25 vs. 1.10 events/patient-year, hazard ratio 0.22, P = 0.001). At the end of the first year, the usual management outperformed the CardioMEMS HF System. By the end of the second year, the CardioMEMS system is estimated to reduce costs compared with usual management (net benefits of €346). Conclusions: Based on the results, we suggest that remote monitoring of pulmonary artery pressure with the CardioMEMS HF System represents a midterm and long-term efficient strategy in a healthcare setting in Southern Europe.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/302187
https://dx.doi.org/urn:doi:10.1002/ehf2.14698
url https://ddd.uab.cat/record/302187
https://dx.doi.org/urn:doi:10.1002/ehf2.14698
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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