AI Article Synopsis

  • A new insertion protocol for cardiac implantable electronic devices (CIEDs) was tested to see if it would reduce complications and infections post-surgery.
  • The study found that the complication rate dropped significantly from 6.86% to 3.95% after the new protocol was implemented (p<0.0001).
  • Infection rates also decreased from 1.6% to 0.44%, but this change was not statistically significant (p=0.093).

Article Abstract

Cardiac implantable electronic device (CIED)-related complications and infections typically lead to prolonged hospital stays and, very occasionally, death. A new CIED insertion protocol was implemented in a district general hospital. The primary objective of this study was to determine whether a significant reduction in complication and infection rates occurred after implementation of the new protocol. Medical records were reviewed for patients who had a CIED inserted in the two years pre- and post-protocol implementation, and any complications were identified in a one-year follow-up period. An increase in the complexity of the devices implanted after introduction of the protocol was observed. The number of complications was significantly reduced from 6.86% to 3.95% (p<0.0001). In the two years prior to protocol implementation, 14 of 871 (1.6%) patients suffered a CIED-related infection. In contrast, four of 683 (0.44%) patients suffered a CIEDrelated infection in the two years postimplementation. This was not statistically significant (p=0.093). In conclusion, implementing a standardised protocol for CIED insertion significantly reduced the rate of complications, and also reduced the rate of infection, but this was not statistically significant.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822513PMC
http://dx.doi.org/10.5837/bjc.2021.027DOI Listing

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