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Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits
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Loop Recorder Implantation on a Telemetry Ward.

Alicia Chionchio1, Beom Soo Kim1, David Chang2

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Summary
This summary is machine-generated.

Implantable loop recorders (ILRs) can be safely and cost-effectively implanted at the bedside by electrophysiologists and advanced practice providers, reducing costs significantly compared to the electrophysiology lab.

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Area of Science:

  • Cardiology
  • Medical Devices
  • Health Economics

Background:

  • Implantable loop recorders (ILRs) are crucial for diagnosing syncope, arrhythmia, and cryptogenic stroke.
  • Current inpatient ILR implantations are typically performed in the electrophysiology (EP) lab.
  • This practice may not be the most cost-effective or feasible approach.

Purpose of the Study:

  • To assess the safety, feasibility, and cost-effectiveness of bedside ILR implantation.
  • To compare outcomes between electrophysiologists (MDs) and advanced practice providers (APPs) performing bedside implantations versus traditional EP lab procedures.

Main Methods:

  • A single-center, retrospective study analyzed 152 consecutive ILR implantations from February 2018 to May 2019.
  • Patients were divided into three groups: EP Lab/MD, Floor/MD, and Floor/APP.
  • Procedure duration, complication rates, and costs were compared across groups.

Main Results:

  • The overall complication rate was low (2.6%) and similar across all groups.
  • Bedside implantation by APPs took longer (14.2 minutes) than EP Lab/MD (6.8 minutes) or Floor/MD (9.1 minutes).
  • Cost per implant was significantly lower for bedside procedures: EP Lab/MD ($482.05), Floor/MD ($162.82), and Floor/APP ($73.08).

Conclusions:

  • Bedside ILR implantation is a safe and feasible alternative to EP lab procedures.
  • Involving APPs in bedside implantations offers substantial cost savings.
  • This approach can optimize resource utilization for ILR procedures.