Design of the Pacemaker REmote Follow-up Evaluation and Review (PREFER) trial to assess the clinical value of the remote pacemaker interrogation in the management of pacemaker patients
2008

PREFER Trial: Remote Monitoring of Pacemakers

Sample size: 980 publication null Evidence: moderate

Author Information

Author(s): Chen Jane, Wilkoff Bruce L, Choucair Wassim, Cohen Todd J, Crossley George H, Johnson W Ben, Mongeon Luc R, Serwer Gerald A, Sherfesee Lou

Primary Institution: Washington University School of Medicine

Hypothesis

Quarterly device monitoring by remote interrogation will result in the earlier diagnosis of clinically actionable events compared to the combination of TTM and routine office visits.

Conclusion

The PREFER trial aims to show that remote monitoring of pacemakers can lead to earlier detection of important clinical events.

Supporting Evidence

  • Remote monitoring systems allow for full device interrogation while the patient is at home.
  • The study aims to improve the management of pacemaker patients by detecting clinically actionable events earlier.
  • The trial involves 980 patients randomized to two different monitoring methods.

Takeaway

This study is about using the internet to check pacemakers from home, which might help doctors find problems faster.

Methodology

A prospective, randomized, parallel, unblinded, multicenter, open label clinical trial comparing remote pacemaker interrogation to transtelephonic monitoring.

Potential Biases

Potential bias from the unblinded design and the involvement of Medtronic in funding the trial.

Limitations

The study may not account for all variables affecting patient outcomes and relies on the accuracy of remote monitoring technology.

Participant Demographics

Patients were enrolled from 50 investigative centers in the United States, aged at least 30 days post-system modification.

Statistical Information

P-Value

p<0.05

Confidence Interval

null

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1745-6215-9-18

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