Dataset Information

Rehospitalizations for complications and mortality following pacemaker implantation: A retrospective cohort study in an older population.

ABSTRACT:

Introduction

A large number of older people receive pacemakers each year but broad population-based studies that describe complications following pacemaker implantation in this population are lacking.

Methods

We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs database. The cohort consisted of patients who received a pacemaker from 2005 to 2014. The outcomes were subsequent rehospitalizations for infections, procedure-related complications, thromboembolism, cardiovascular events (heart failure, myocardial infarction, and atrial fibrillation), and reoperation of pacemaker, and mortality.

Results

There were 10 883 pacemakers recipients, the median age was 86?years (interquartile range 83-89), 61% were males, and 74% received a dual-chamber pacemaker. Within 90?days postdischarge, rehospitalizations were occasioned by pacemaker infection in 0.5%, device-related complications in 1.5%, cerebral infarction in 0.7%, and heart failure in 6% of single-chamber pacemaker recipients. In dual-chamber pacemaker recipients rehospitalizations were occasioned by pacemaker infection in 0.4%, septicemia in 0.4%, device-related complications in 1.2%, cerebral infarction in 0.3%, and heart failure in 3%. Rehospitalizations for pacemaker adjustment occurred in 1.5% of patients. The 90-day postdischarge mortality was 5% and 3% in patients with single- and dual-chamber pacemaker, respectively.

Conclusion

Rehospitalizations for infection, procedure-related complications, or thromboembolism occurred in 1% to 2% of patients within 90?days postdischarge, while 10% of single chamber and 7% of dual-chamber recipients experienced a rehospitalization for a cardiovascular event.

SUBMITTER: Gillam MH

PROVIDER: S-EPMC6490152 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Publications

Rehospitalizations for complications and mortality following pacemaker implantation: A retrospective cohort study in an older population.

Gillam Marianne H MH Pratt Nicole L NL Inacio Maria C S MCS Shakib Sepehr S Sanders Prashanthan P Lau Dennis H DH Roughead Elizabeth E EE

Clinical cardiology 20181019 11

<h4>Introduction</h4>A large number of older people receive pacemakers each year but broad population-based studies that describe complications following pacemaker implantation in this population are lacking.<h4>Methods</h4>We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs database. The cohort consisted of patients who received a pacemaker from 2005 to 2014. The outcomes were subsequent rehospitalizations for infections, procedure ...[more]

PMID: 30294784

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Dataset Information

Rehospitalizations for complications and mortality following pacemaker implantation: A retrospective cohort study in an older population.

Introduction

Methods

Results

Conclusion

Publications

Rehospitalizations for complications and mortality following pacemaker implantation: A retrospective cohort study in an older population.

Similar Datasets

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