Safety and cost-effectiveness of same day permanent pacemaker implantation

The American Journal of Cardiology
Faizel OsmanJohn Creamer

Abstract

An overnight stay after permanent pacemaker implantation has major cost implications for healthcare systems. Same day pacing could be effective in alleviating this. We evaluated our elective same day pacing practice to determine safety and cost-effectiveness. A total of 780 patients were scheduled for elective new permanent pacemaker implantation as a same day procedure at the University Hospital, North Staffordshire, from April 2001 to December 2006. The mean age +/- SEM of the cohort was 73.8 +/- 0.4 years (464 men and 316 women). Single-chamber devices were implanted in 272 (27 atrial and 245 ventricular) and dual chamber in 508 patients. Vascular access was by the subclavian vein in 431 patients and the cephalic vein in 349. Preimplant intravenous antibiotics were administered to 28% and perioperative antibiotics to the remainder; all patients received oral antibiotics after implantation. Of the 780 patients, 41 (5.3%) required an in-hospital stay after implantation because of hematoma formation in 12, pneumothorax in 3, social reasons for 7, observation at the physicians request but no complication for 13, angina in 3, arrhythmia in 1, and warfarin therapy in 2. Immediate complications (<24 hours) occurred in 6 patients an...Continue Reading

References

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Citations

Jan 3, 2014·International Journal of Cardiology·S PerlB Pieske
Jul 6, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Manuel Martinez-SellesGerhard Schymik
Jun 30, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Stefan G SpitzerJochen Senges
Mar 25, 2018·Pacing and Clinical Electrophysiology : PACE·Jessica PeplowPaul A Scott
Jul 19, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Alexander P BenzStefan H Hohnloser
Jun 7, 2019·Open Heart·Michael WaightShaumik Adhya
Mar 25, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jan SteffelThorsten Lewalter
Oct 4, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Simon SchoechlinFranz-Josef Neumann
Apr 23, 2021·Indian Pacing and Electrophysiology Journal·Vamsidhar NaraparajuAneesh Tolat
Sep 27, 2021·Pacing and Clinical Electrophysiology : PACE·Angkawipa TrongtorsakLeenhapong Navaravong

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