Rehospitalizations for complications and mortality following pacemaker implantation: a retrospective cohort study in an older population

التفاصيل البيبلوغرافية
العنوان: Rehospitalizations for complications and mortality following pacemaker implantation: a retrospective cohort study in an older population
المؤلفون: Maria C.S. Inacio, Elizabeth E. Roughead, Dennis H. Lau, Marianne Gillam, Nicole L. Pratt, Sepehr Shakib, Prashanthan Sanders
المساهمون: Gillam, Marianne H, Pratt, Nicole L, Inacio, Maria CS, Shakib, Sepehr, Sanders, Prashanthan, Lau, Dennis H, Roughead, Elizabeth E
بيانات النشر: US : Wiley, 2018.
سنة النشر: 2018
مصطلحات موضوعية: Male, rehospitalization, Pacemaker, Artificial, medicine.medical_specialty, Time Factors, Databases, Factual, complications, Population, Clinical Investigations, Comorbidity, 030204 cardiovascular system & hematology, Patient Readmission, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Risk Factors, Interquartile range, Thromboembolism, Internal medicine, medicine, Humans, 030212 general & internal medicine, Myocardial infarction, education, Aged, Retrospective Studies, Aged, 80 and over, education.field_of_study, business.industry, Cerebral infarction, Age Factors, Australia, Cardiac Pacing, Artificial, Arrhythmias, Cardiac, Retrospective cohort study, Atrial fibrillation, General Medicine, medicine.disease, mortality, older population, Treatment Outcome, Heart failure, Cohort, pacemaker implantation, Equipment Failure, Female, Cardiology and Cardiovascular Medicine, business
الوصف: Introduction: A large number of older people receive pacemakers each year but broad population-based studies that describe complications following pacemaker implantation in this population are lacking. Methods: We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs database. The cohort consisted of patients who received a pacemaker from 2005 to 2014. The outcomes were subsequent rehospitalizations for infections, procedure-related complications, thromboembolism, cardiovascular events (heart failure, myocardial infarction, and atrial fibrillation), and reoperation of pacemaker, and mortality. Results: There were 10 883 pacemakers recipients, the median age was 86 years (interquartile range 83-89), 61% were males, and 74% received a dual-chamber pacemaker. Within 90 days postdischarge, rehospitalizations were occasioned by pacemaker infection in 0.5%, device-related complications in 1.5%, cerebral infarction in 0.7%, and heart failure in 6% of single-chamber pacemaker recipients. In dual-chamber pacemaker recipients rehospitalizations were occasioned by pacemaker infection in 0.4%, septicemia in 0.4%, device-related complications in 1.2%, cerebral infarction in 0.3%, and heart failure in 3%. Rehospitalizations for pacemaker adjustment occurred in 1.5% of patients. The 90-day postdischarge mortality was 5% and 3% in patients with single- and dual-chamber pacemaker, respectively. Conclusion: Rehospitalizations for infection, procedure-related complications, or thromboembolism occurred in 1% to 2% of patients within 90 days postdischarge, while 10% of single chamber and 7% of dual-chamber recipients experienced a rehospitalization for a cardiovascular event. Refereed/Peer-reviewed
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5552b869753d3d58eb1b2eeca777868f
https://hdl.handle.net/11541.2/134872
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....5552b869753d3d58eb1b2eeca777868f
قاعدة البيانات: OpenAIRE