Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey
Cardiac rhythm management devices (CRMDs) have proven their clinical effectiveness for patients with heart rhythm disorders. Little is known about safety and complication rates during the implantation of these devices. This study demonstrated the complication rates related to CRMD implantation, and...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-01-01
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| Series: | Hellenic Journal of Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1109966616300161 |
| _version_ | 1828337969486888960 |
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| author | John Fanourgiakis Emmanuel Simantirakis Nikolaos Maniadakis Emmanuel Kanoupakis Stavros Chrysostomakis Georgia Kourlaba Gregory Chlouverakis Panos Vardas |
| author_facet | John Fanourgiakis Emmanuel Simantirakis Nikolaos Maniadakis Emmanuel Kanoupakis Stavros Chrysostomakis Georgia Kourlaba Gregory Chlouverakis Panos Vardas |
| author_sort | John Fanourgiakis |
| collection | DOAJ |
| description | Cardiac rhythm management devices (CRMDs) have proven their clinical effectiveness for patients with heart rhythm disorders. Little is known about safety and complication rates during the implantation of these devices. This study demonstrated the complication rates related to CRMD implantation, and estimated the additional hospital stay and cost associated with the management of complications.
Methods: During a period of one year, a total of 464 consecutive recipients underwent CRMD implantation and were followed for 2 years. Finally, data were analyzed for 398 patients who completed the two-year follow up, resulting in a total of 796 patient-years.
Results: Of the 201 patients with initial pacemaker (PM) implantations, 6 (2.99%) had seven complications (5 patients had lead dislodgement, 1 of them twice), and 1 patient developed pocket infection. Of the 117 PM replacements, 1 (0.85%) patient developed a complication (pocket erosion). Two patients with complications (1 with an initial PM and 1 with a replacement) died before completing the follow up for reasons unrelated to cardiac causes. There were no complications in either initial implantations (69 patients) or replacements (11 patients) of implantable cardioverter-defibrillators. The average prolongation of the hospital stay was 7 days, ranging from 1 to 35 days, resulting in €17,411 of total additional direct hospital costs.
Conclusion: This study found relatively low rates of complications in patients undergoing CRMD implantation, initial or replacement, in our center, compared with other studies. The additional hospitalization days and costs attributable to these complications depend on the nature of the complication. |
| first_indexed | 2024-04-13T22:22:04Z |
| format | Article |
| id | doaj.art-576a40d188f34d6c90250cb0197bb630 |
| institution | Directory Open Access Journal |
| issn | 1109-9666 |
| language | English |
| last_indexed | 2024-04-13T22:22:04Z |
| publishDate | 2016-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hellenic Journal of Cardiology |
| spelling | doaj.art-576a40d188f34d6c90250cb0197bb6302022-12-22T02:27:12ZengElsevierHellenic Journal of Cardiology1109-96662016-01-01571333810.1016/S1109-9666(16)30016-1Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year SurveyJohn Fanourgiakis0Emmanuel Simantirakis1Nikolaos Maniadakis2Emmanuel Kanoupakis3Stavros Chrysostomakis4Georgia Kourlaba5Gregory Chlouverakis6Panos Vardas7Department of Cardiology, Heraklion University Hospital, CreteDepartment of Cardiology, Heraklion University Hospital, CreteNational School of Public Health, AthensDepartment of Cardiology, Heraklion University Hospital, CreteDepartment of Cardiology, Heraklion University Hospital, CreteThe Stavros Niarchos Foundation-Collaborative Center for Clinical Epidemiology and Outcomes Research (CLEO), AthensDepartment of Biostatistics, Faculty of Medicine, University of Crete, Crete, GreeceDepartment of Cardiology, Heraklion University Hospital, CreteCardiac rhythm management devices (CRMDs) have proven their clinical effectiveness for patients with heart rhythm disorders. Little is known about safety and complication rates during the implantation of these devices. This study demonstrated the complication rates related to CRMD implantation, and estimated the additional hospital stay and cost associated with the management of complications. Methods: During a period of one year, a total of 464 consecutive recipients underwent CRMD implantation and were followed for 2 years. Finally, data were analyzed for 398 patients who completed the two-year follow up, resulting in a total of 796 patient-years. Results: Of the 201 patients with initial pacemaker (PM) implantations, 6 (2.99%) had seven complications (5 patients had lead dislodgement, 1 of them twice), and 1 patient developed pocket infection. Of the 117 PM replacements, 1 (0.85%) patient developed a complication (pocket erosion). Two patients with complications (1 with an initial PM and 1 with a replacement) died before completing the follow up for reasons unrelated to cardiac causes. There were no complications in either initial implantations (69 patients) or replacements (11 patients) of implantable cardioverter-defibrillators. The average prolongation of the hospital stay was 7 days, ranging from 1 to 35 days, resulting in €17,411 of total additional direct hospital costs. Conclusion: This study found relatively low rates of complications in patients undergoing CRMD implantation, initial or replacement, in our center, compared with other studies. The additional hospitalization days and costs attributable to these complications depend on the nature of the complication.http://www.sciencedirect.com/science/article/pii/S1109966616300161Pacemakerimplantable cardioverter defibrillatorcomplications |
| spellingShingle | John Fanourgiakis Emmanuel Simantirakis Nikolaos Maniadakis Emmanuel Kanoupakis Stavros Chrysostomakis Georgia Kourlaba Gregory Chlouverakis Panos Vardas Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey Hellenic Journal of Cardiology Pacemaker implantable cardioverter defibrillator complications |
| title | Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey |
| title_full | Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey |
| title_fullStr | Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey |
| title_full_unstemmed | Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey |
| title_short | Complications Related to Cardiac Rhythm Management Device Therapy and Their Financial Implication: A Prospective Single-Center Two-Year Survey |
| title_sort | complications related to cardiac rhythm management device therapy and their financial implication a prospective single center two year survey |
| topic | Pacemaker implantable cardioverter defibrillator complications |
| url | http://www.sciencedirect.com/science/article/pii/S1109966616300161 |
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