دورية أكاديمية
أعرض في EDS

Cardiac Implantable Electronic Devices: Reoperations and the Competing Risk of Death.

التفاصيل البيبلوغرافية
العنوان: Cardiac Implantable Electronic Devices: Reoperations and the Competing Risk of Death.
المؤلفون: Gillam MH; School of Pharmacy and Medical Sciences, The Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, SA, Australia. Electronic address: marianne.gillam@unisa.edu.au., Pratt NL; School of Pharmacy and Medical Sciences, The Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, SA, Australia., Inacio MCS; School of Pharmacy and Medical Sciences, The Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, SA, Australia., Shakib S; Discipline of Pharmacology, School of Medicine, University of Adelaide, Adelaide, SA, Australia; Department of Medicine, University of Adelaide, Adelaide, SA, Australia; Australia and South Australian Health and Medical Research Institute, University of Adelaide, Adelaide, SA, Australia., Caughey GE; School of Pharmacy and Medical Sciences, The Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, SA, Australia., Sanders P; Centre for Heart Rhythm Disorders, South Australia Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, SA, Australia., Lau DH; Centre for Heart Rhythm Disorders, South Australia Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, SA, Australia., Roughead EE; School of Pharmacy and Medical Sciences, The Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, SA, Australia.
المصدر: Heart, lung & circulation [Heart Lung Circ] 2022 Apr; Vol. 31 (4), pp. 537-543. Date of Electronic Publication: 2021 Oct 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Australia Country of Publication: Australia NLM ID: 100963739 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1444-2892 (Electronic) Linking ISSN: 14439506 NLM ISO Abbreviation: Heart Lung Circ Subsets: MEDLINE
أسماء مطبوعة: Publication: : Chatswood, NSW, Australia : Elsevier Australia
Original Publication: Carlton, Vic., Australia : Blackwell Science Asia, c2000-
مواضيع طبية MeSH: Cardiac Resynchronization Therapy* , Defibrillators, Implantable*/adverse effects, Aged, 80 and over ; Australia/epidemiology ; Cardiac Resynchronization Therapy Devices ; Electronics ; Humans ; Reoperation ; Retrospective Studies ; Risk Factors
مستخلص: Background: The use of cardiac implantable electronic devices (CIED), which includes pacemakers, implantable cardioverter-defibrillators (ICD), cardiac resynchronisation therapy pacemakers (CRT-P) and cardiac resynchronisation therapy defibrillators (CRT-D) has increased over the past 20 years, but there is a lack of real world evidence on the longevity of these devices in the older population which is essential to inform health care delivery and support clinical decisions.
Methods and Results: We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs database. The cohort consisted of people who had a CIED procedure between 2005 and 2015. The cumulative risk of generator replacement/reoperations was estimated accounting for the competing risk of death. A total of 16,662 patients were included. In pacemaker recipients with an average age of 85 years, the 5-year risk of reoperation ranged from 2.8% in single chamber, 3.6% in dual chamber to 7.6% in CRT-P recipients, while the 5-year risk of dying with the index pacemaker in situ was 63% in single chamber, 46% in dual chamber and 56% in CRT-P recipients. In defibrillator recipients with an average age of 80 years, the 5-year risk of reoperation ranged from 11% in single chamber, 13% in dual chamber to 24% in CRT-D recipients, while the 5-year risk of dying with the index defibrillator in situ was 46% in single chamber, 40% in dual chamber and 41% in CRT-D recipients.
Conclusion: In this cohort of older patients the 5-year risk of generator reoperation was low in pacemaker recipients whereas up to one in four CRT-D recipients would have a reoperation within 5 years.
(Copyright © 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Cardiac implantable electronic devices; Competing risk; Death; Generator reoperation
تواريخ الأحداث: Date Created: 20211022 Date Completed: 20220322 Latest Revision: 20220322
رمز التحديث: 20221213
DOI: 10.1016/j.hlc.2021.08.027
PMID: 34674955
قاعدة البيانات: MEDLINE
الوصف
تدمد:1444-2892
DOI:10.1016/j.hlc.2021.08.027