Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation

ABSTRACT Objective To determine the rate of complications associated with the use of temporary pacemakers in patients in the waiting list for the definitive pacemaker implantation in a public hospital located in São Paulo, SP, Brazil. Methods Retrospective observational study based on data extra...

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Main Authors: Silvana Ellen Ribeiro Papp, Aymée Lustosa Nogueira e Torres, Andres Eduardo Larrovere Vasquez, Luciana Gioli-Pereira
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022-06-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100269&tlng=en
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author Silvana Ellen Ribeiro Papp
Aymée Lustosa Nogueira e Torres
Andres Eduardo Larrovere Vasquez
Luciana Gioli-Pereira
author_facet Silvana Ellen Ribeiro Papp
Aymée Lustosa Nogueira e Torres
Andres Eduardo Larrovere Vasquez
Luciana Gioli-Pereira
author_sort Silvana Ellen Ribeiro Papp
collection DOAJ
description ABSTRACT Objective To determine the rate of complications associated with the use of temporary pacemakers in patients in the waiting list for the definitive pacemaker implantation in a public hospital located in São Paulo, SP, Brazil. Methods Retrospective observational study based on data extracted from medical records of patients admitted to Hospital Municipal Dr. Moyses Deutsch, Hospital Israelita Albert Einstein from January 2014 to December 2018. Patients aged 18 years or older, diagnosed with high degree atrioventricular block upon admission and with indications for definitive pacemaker implantation were included. All-cause mortality, clinical and surgical complications and length of hospital stay while waiting for the procedure were defined as primary outcomes. Results The sample comprised 66 patient allocated to one of two groups: with and without the need of temporary pacemaker while in hospital (n=45 and n=21, respectively). The rate of complications was higher in patients who used a temporary pacemaker (p<0.001). These included primarily pneumonia (p=0.048) and length of hospital stay (p=0.029). Conclusion Patients who required a temporary pacemaker stayed longer in hospital. Longer hospital stay is associated with higher rates of general complications and all-cause mortality.
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spelling doaj.art-673d30fdf9ba4f0985d864a774ffa1452022-12-22T02:33:43ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852022-06-012010.31744/einstein_journal/2022ao8013Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantationSilvana Ellen Ribeiro Papphttps://orcid.org/0000-0002-7785-9265Aymée Lustosa Nogueira e Torreshttps://orcid.org/0000-0002-2618-4405Andres Eduardo Larrovere Vasquezhttps://orcid.org/0000-0002-8343-1679Luciana Gioli-Pereirahttps://orcid.org/0000-0002-4682-8095ABSTRACT Objective To determine the rate of complications associated with the use of temporary pacemakers in patients in the waiting list for the definitive pacemaker implantation in a public hospital located in São Paulo, SP, Brazil. Methods Retrospective observational study based on data extracted from medical records of patients admitted to Hospital Municipal Dr. Moyses Deutsch, Hospital Israelita Albert Einstein from January 2014 to December 2018. Patients aged 18 years or older, diagnosed with high degree atrioventricular block upon admission and with indications for definitive pacemaker implantation were included. All-cause mortality, clinical and surgical complications and length of hospital stay while waiting for the procedure were defined as primary outcomes. Results The sample comprised 66 patient allocated to one of two groups: with and without the need of temporary pacemaker while in hospital (n=45 and n=21, respectively). The rate of complications was higher in patients who used a temporary pacemaker (p<0.001). These included primarily pneumonia (p=0.048) and length of hospital stay (p=0.029). Conclusion Patients who required a temporary pacemaker stayed longer in hospital. Longer hospital stay is associated with higher rates of general complications and all-cause mortality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100269&tlng=enPacemaker, artificialAtrioventricular blockCross infectionHospitals, publicPublic healthLonght of stay
spellingShingle Silvana Ellen Ribeiro Papp
Aymée Lustosa Nogueira e Torres
Andres Eduardo Larrovere Vasquez
Luciana Gioli-Pereira
Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
Einstein (São Paulo)
Pacemaker, artificial
Atrioventricular block
Cross infection
Hospitals, public
Public health
Longht of stay
title Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
title_full Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
title_fullStr Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
title_full_unstemmed Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
title_short Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
title_sort complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
topic Pacemaker, artificial
Atrioventricular block
Cross infection
Hospitals, public
Public health
Longht of stay
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100269&tlng=en
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