The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation.
Cardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0277115 |
| _version_ | 1797984313849937920 |
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| author | Tomonori Takeda Atsuhiro Tsubaki Yoshifumi Ikeda Ritsushi Kato Kazuki Hotta Tatsuro Inoue Sho Kojima Risa Kanai Yoshitaka Terazaki Ryusei Uchida Shigeru Makita |
| author_facet | Tomonori Takeda Atsuhiro Tsubaki Yoshifumi Ikeda Ritsushi Kato Kazuki Hotta Tatsuro Inoue Sho Kojima Risa Kanai Yoshitaka Terazaki Ryusei Uchida Shigeru Makita |
| author_sort | Tomonori Takeda |
| collection | DOAJ |
| description | Cardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship between frailty and readmission rates among patients with CIED. This study investigated whether preoperative frailty influenced readmission rates among patients with CIED over a one-year period following implantation. The study retrospectively analyzed 101 patients who underwent CIED implantations. To compare frailty-based differences in their characteristics and readmission rates, these participants were categorized into frailty and non-frailty groups via the modified frailty index (mFI). The frailty group had a significantly higher readmission rate than the non-frailty group (non-frailty group vs. frailty group = 1 vs. 8 patients: P < 0.05). Further, a multivariate analysis showed that frailty was a significant readmission factor. Based on individual analyses with/without histories of HF, the readmission rate also tended to be higher among individuals considered frail via the mFI (readmission rate in HF patients: non-frailty group vs. frailty group = 1 vs. 5 patients: P = 0.65; non-HF patients: non-frailty group vs. frailty group = 0 vs. 3 patients: P = 0.01). Participants with preoperative frailty showed higher readmission rates within a one-year period following implantation compared to those without preoperative frailty. This tendency was consistent regardless of HF history. The mFI may thus help predict readmission among patients with CIED. |
| first_indexed | 2024-04-11T06:59:38Z |
| format | Article |
| id | doaj.art-0666ac28f0514217bb26b6c2a89b6fbb |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-11T06:59:38Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-0666ac28f0514217bb26b6c2a89b6fbb2022-12-22T04:38:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027711510.1371/journal.pone.0277115The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation.Tomonori TakedaAtsuhiro TsubakiYoshifumi IkedaRitsushi KatoKazuki HottaTatsuro InoueSho KojimaRisa KanaiYoshitaka TerazakiRyusei UchidaShigeru MakitaCardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship between frailty and readmission rates among patients with CIED. This study investigated whether preoperative frailty influenced readmission rates among patients with CIED over a one-year period following implantation. The study retrospectively analyzed 101 patients who underwent CIED implantations. To compare frailty-based differences in their characteristics and readmission rates, these participants were categorized into frailty and non-frailty groups via the modified frailty index (mFI). The frailty group had a significantly higher readmission rate than the non-frailty group (non-frailty group vs. frailty group = 1 vs. 8 patients: P < 0.05). Further, a multivariate analysis showed that frailty was a significant readmission factor. Based on individual analyses with/without histories of HF, the readmission rate also tended to be higher among individuals considered frail via the mFI (readmission rate in HF patients: non-frailty group vs. frailty group = 1 vs. 5 patients: P = 0.65; non-HF patients: non-frailty group vs. frailty group = 0 vs. 3 patients: P = 0.01). Participants with preoperative frailty showed higher readmission rates within a one-year period following implantation compared to those without preoperative frailty. This tendency was consistent regardless of HF history. The mFI may thus help predict readmission among patients with CIED.https://doi.org/10.1371/journal.pone.0277115 |
| spellingShingle | Tomonori Takeda Atsuhiro Tsubaki Yoshifumi Ikeda Ritsushi Kato Kazuki Hotta Tatsuro Inoue Sho Kojima Risa Kanai Yoshitaka Terazaki Ryusei Uchida Shigeru Makita The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. PLoS ONE |
| title | The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. |
| title_full | The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. |
| title_fullStr | The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. |
| title_full_unstemmed | The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. |
| title_short | The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation. |
| title_sort | impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation |
| url | https://doi.org/10.1371/journal.pone.0277115 |
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