Related Experiment Video

Updated: Jan 29, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

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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Healthcare utilization in patients with first-time implantable cardioverter defibrillators (data from the WEBCARE

Eva R Broers1,2, Paul Lodder2, Viola R M Spek2

  • 1Department of Cardiology, St. Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.

Pacing and Clinical Electrophysiology : PACE
|February 20, 2019
PubMed

Insights

Depression significantly predicts healthcare utilization in implantable cardioverter defibrillator (ICD) patients during the first year. Early identification and intervention for depression can help manage patient needs and reduce future healthcare costs.

Area of Science:

  • Cardiology
  • Psychiatry
  • Health Services Research

Background:

  • Limited knowledge exists regarding healthcare utilization (HCU) patterns and predictors in implantable cardioverter defibrillator (ICD) patients.
  • Understanding these factors is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To investigate the level of HCU in first-time ICD patients.
  • To identify predictors associated with increased HCU during the first year postimplantation.

Main Methods:

  • A prospective study involving 201 ICD patients.
  • Data collected via questionnaires at baseline and 3, 6, and 12 months postimplantation.
  • Hierarchical multiple linear regression analysis used to determine predictors of HCU.

Main Results:

  • HCU peaked between baseline and 3 months, then declined over 12 months.
  • Depression emerged as a consistent predictor of higher HCU throughout the first year.
  • Younger age, NYHA class III/IV, and secondary indication were significant predictors in specific early follow-up periods.

Conclusions:

  • Depression is a key factor driving HCU in ICD patients postimplantation.
  • Timely identification and management of depression in ICD patients may improve outcomes and reduce healthcare utilization.
Abstract

Keywords:
depressionhealthcare utilizationimplantable cardioverter defibrillatormental health

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