Europace Advance Access originally published online on June 7, 2007
Europace 2007 9(10):884-889; doi:10.1093/europace/eum113
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
PACEMAKERS
Incidence and predictors of in-hospital events after first implantation of pacemakers
1 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Bolognalaan 12, 3584 CJ Utrecht, The Netherlands; 2 Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands; 3 Department of Cardiology, Bernhoven Hospital, Veghel, The Netherlands
Aims Despite an annual rise in the numbers of patients receiving their first pacemaker (PM), the risks of the implantation procedure remains unclear. The purpose of this prospective study is to estimate the incidence of in-hospital events after first PM implantation and to determine the predictors of these events.
Methods and results Patients with conventional pacing diagnosis were included in the Dutch multicentre FOLLOWPACE PM registry that prospectively documented patients' prognosis and quality of life, and PM events after first implantation. From these registry characteristics, implantation data and in-hospital findings were analysed as potential predictors for events in a sample of 1198 patients. In 111 patients studied, at least one serious in-hospital event occurred (incidence 10.1%, 95%CI: 8.9–12.3). Six variables, i.e. a lower body mass index, presence of heart failure in medical history, main indication for implantation, vena subclavia use for venous access, active atrial lead fixation, and the implantation of a dual chamber system, were found to be independent predictors of events after first PM implantation. The overall multivariable model yielded an ROC area of 0.65 (95%CI: 0.60–0.70).
Conclusion This large prospective multicentre study identified six variables as independent predictors for serious in-hospital events after first implantation. This may assist the implanting cardiologist and surgeon to identify patients at higher risk, during and immediately after PM implantation.
Key Words: Pacemaker, Pacemaker complications, Prediction, Prognosis, In-hospital events, Outcome
* Corresponding author. Tel: +31 30 2506545; fax: +31 30 2505481. E-mail address: j.w.m.vaneck-2{at}umcutrecht.nl
Manuscript submitted 19 December 2006. Accepted after revision 2 May 2007.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  P. N. Peterson, S. L. Daugherty, Y. Wang, H. J. Vidaillet, P. A. Heidenreich, J. P. Curtis, F. A. Masoudi, and on behalf of the National Cardiovascular Data Regi Gender Differences in Procedure-Related Adverse Events in Patients Receiving Implantable Cardioverter-Defibrillator Therapy Circulation, March 3, 2009; 119(8): 1078 - 1084. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Nowak, B. Misselwitz, and on behalf of the Expert Committee 'Pacemaker', Ins Effects of increasing age onto procedural parameters in pacemaker implantation: results of an obligatory external quality control program Europace, January 1, 2009; 11(1): 75 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W.M. van Eck, N. M. van Hemel, W. G. de Voogt, J. G. Meeder, H. A. Spierenburg, H. Crommentuyn, R. Keijzer, D. E. Grobbee, K. G.M. Moons, and on behalf of the FOLLOWPACE investigators Routine follow-up after pacemaker implantation: frequency, pacemaker programming and professionals in charge Europace, July 1, 2008; 10(7): 832 - 837. [Abstract] [Full Text] [PDF]
|
|