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A survey on patient preferences towards CIED implantation
- Source :
- Indian Pacing and Electrophysiology Journal, Vol 21, Iss 4, Pp 227-231 (2021), Indian Pacing and Electrophysiology Journal
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Background Cardiac implantable electronic device (CIED) implantation is increasingly performed worldwide with improving safety. Outpatient CIED implantation has similar complication rates compared to those implants which are hospitalized. Here, we analyze patient preferences on discharge timing after CIED implantation. Objective To identify and understand the factors contributing to patient preferences towards same-day or next-day discharge after CIED implantation. Methods One hundred and two patients undergoing new CIED implants were included in the study at two separate hospitals in CT (CT group) and FL (FL group) from 2018-2019. A 7-question survey was administered to the patients after the procedure. Survey responses and demographic data were statistically analyzed. Results Seventy-four percent of CT group and 58% of the FL group responded with a 10 score (0-10) that they were ready to be discharged home the same day (p=0.09). Both groups reported a low number of patients feeling safer by having a remote monitor provided at the time of discharge (44% CT group, 28% FL group; p=0.123). The mean distance of patients living from the hospital in CT group (21.6 miles) was significantly lower than that for the FL group (35.5 miles); p=0.01. Hypertension (86% vs 52%; p=0.0002) and Diabetes mellitus (44% vs 21%; p=0.013) were more prevalent in the FL group compared to the CT group. Conclusion Despite the influence of local practices, the majority of patients preferred same-day discharge after CIED implantation. Improved patient education regarding the ability of remote monitors to provide real-time response to acute events is needed.
- Subjects :
- medicine.medical_specialty
business.industry
CIED implantation
Outpatient
030204 cardiovascular system & hematology
medicine.disease
Demographic data
Patient preference
Pacemaker
Defibrillator
03 medical and health sciences
0302 clinical medicine
RC666-701
Physiology (medical)
Diabetes mellitus
Internal medicine
medicine
Diseases of the circulatory (Cardiovascular) system
Original Article
030212 general & internal medicine
Survey
Cardiology and Cardiovascular Medicine
Complication
business
Patient education
Subjects
Details
- ISSN :
- 09726292
- Database :
- OpenAIRE
- Journal :
- Indian Pacing and Electrophysiology Journal
- Accession number :
- edsair.doi.dedup.....5ff988cd4501fcde1753d18827ec34d4