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Pacemaker complications and costs: a nationwide economic study
Nicolas Clémenty1, Jérôme Fernandes2, Phuong Lien Carion3
1Centre Hospitalier Régional Universitaire de Tours, Université François Rabelais de Tours , Tours , France.
Journal of Medical Economics
|August 3, 2019
Summary
Traditional pacemaker complications, particularly lead and pocket issues, are common and costly for eligible patients. These findings highlight the significant financial burden on healthcare systems.
Area of Science:
- Cardiology
- Health Economics
- Medical Device Technology
Background:
- Conventional pacemakers carry risks of complications, including lead and pocket issues.
- These complications incur significant costs for healthcare systems.
- Novel leadless pacemakers (LPMs) offer a potential alternative to reduce these risks and costs.
Purpose of the Study:
- To estimate the incidence and associated costs of traditional pacemaker complications.
- To identify complications in patients eligible for LPM implantation.
Main Methods:
- Retrospective analysis of the French National Hospital Database (PMSI).
- Included patients implanted with pacemakers in France in 2012 eligible for LPMs.
- Estimated complication rates and costs over 3 years post-implantation.
Main Results:
- 11,770 patients (18%) met inclusion criteria from 65,553.
- 5.3% of patients experienced pacemaker complications within 3 years.
- 89% of complications were lead- or pocket-related, including bleeding, mechanical issues, and pneumothorax.
- Mean complication cost per patient was €6,674 ± €3,867.
Conclusions:
- Major complications of conventional pacemakers, especially lead and pocket issues, remain prevalent.
- These complications represent a substantial financial burden on healthcare systems.
- The findings support the potential benefits of LPMs in reducing complication rates and associated costs.
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