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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

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Safety of Outpatient Implantation of the Implantable Cardioverter-defibrillator

Tomás Datino1, Ángel Miracle Blanco1, Alberto Núñez García1

  • 1Departamento de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital General Universitario Gregorio Marañón, Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Revista Espanola De Cardiologia (English Ed.)
|December 2, 2014
PubMed

Insights

Outpatient implantation of cardioverter-defibrillators is safe and cost-effective. This approach reduces healthcare expenses while maintaining similar complication rates compared to inpatient procedures.

Area of Science:

  • Cardiology
  • Health Economics

Background:

  • Healthcare systems face pressure to reduce costs and enhance patient care.
  • Implantable cardioverter-defibrillators (ICDs) are crucial for managing cardiac arrhythmias.
  • The setting for ICD implantation (outpatient vs. inpatient) impacts resource utilization and patient outcomes.

Purpose of the Study:

  • To evaluate the safety and cost-effectiveness of outpatient implantation of implantable cardioverter-defibrillators.
  • To compare complication rates between outpatient and inpatient ICD implantation procedures.

Main Methods:

  • A retrospective analysis of 401 patients who underwent ICD implantation between 2007 and 2012.
  • Comparison of intervention-related complication rates in 232 outpatients versus 169 inpatients.
  • Multivariate analysis to identify factors associated with post-implantation complications.

Main Results:

  • Outpatient ICD implantation was associated with significant cost savings of approximately €735 per procedure.
  • Complication rates were similar between outpatient (6.0%) and inpatient (5.3%) settings within three months post-implantation.
  • Previous anticoagulant therapy was identified as a predictor of complications, primarily pocket hematomas.

Conclusions:

  • Outpatient implantation of implantable cardioverter-defibrillators is a safe and economically beneficial strategy.
  • Patients on chronic anticoagulation therapy require close monitoring due to an elevated risk of complications.
  • This approach offers a viable method for reducing healthcare expenditure without compromising patient safety.
Abstract

Keywords:
Desfibrilador automático implantableImplantable cardioverter-defibrillatorImplante ambulatorioOutpatient implantationSafetySeguridad

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