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Related Experiment Videos

Day case permanent pacing.

G A Haywood1, S M Jones, A J Camm

  • 1St. George's Hospital, London, United Kingdom.

Pacing and Clinical Electrophysiology : PACE
|May 1, 1991
PubMed
Summary
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Day-case permanent pacing is a feasible and acceptable option for patients in the UK. This approach offers significant economic benefits compared to conventional inpatient management.

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • Permanent pacemaker implantation is a common procedure.
  • Traditional inpatient management involves prolonged hospital stays.

Purpose of the Study:

  • To evaluate the feasibility, patient acceptability, and economic impact of day-case permanent pacemaker implantation.
  • To compare day-case management with conventional inpatient care for permanent pacing.

Main Methods:

  • A randomized study involving 50 patients undergoing permanent pacemaker implantation.
  • Patients were allocated to either day-case or conventional inpatient management.
  • Follow-up extended to 22 months, assessing complications, patient satisfaction, and costs.

Main Results:

Related Experiment Videos

  • Mean inpatient stay was significantly shorter for day-case patients (5.7 hours) versus conventional (70.0 hours).
  • Complication rates were similar between groups, with one late complication in the day-case group.
  • Patient acceptability scores were high and equal for both management protocols (mean score 8.8).
  • Day-case management resulted in cost savings of approximately 430 pounds per patient.

    • Conclusions:

    • Day-case permanent pacemaker implantation is a viable strategy in the UK.
    • This approach is well-accepted by patients and demonstrates considerable economic advantages.
    • The findings support the wider adoption of day-case management for permanent pacing procedures.