Frequency of in-hospital adverse outcomes and cost utilization associated with cardiac resynchronization therapy defibrillator implantation in the United States

Autor: Juan F. Viles-Gonzalez, Krishna Kancharla, Ekta Aneja, Nileshkumar J. Patel, Shilpkumar Arora, Mahek Shah, Naga Venkata Pothineni, Yong Mei Cha, Abhishek Deshmukh, Nilay Patel, Kanishk Agnihotri, Fred Kusumoto, Apurva Badheka, Siva K. Mulpuru, Peter A. Noseworthy
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
Databases
Factual
medicine.medical_treatment
Electric Countershock
Cardiac resynchronization therapy
Comorbidity
030204 cardiovascular system & hematology
Hemopericardium
Risk Assessment
Cardiac Resynchronization Therapy
Young Adult
03 medical and health sciences
Sex Factors
0302 clinical medicine
Risk Factors
Physiology (medical)
Cardiac tamponade
medicine
Humans
Cardiac Resynchronization Therapy Devices
Hospital Mortality
030212 general & internal medicine
Hospital Costs
Stroke
Aged
Aged
80 and over
Heart Failure
business.industry
Age Factors
Length of Stay
Middle Aged
medicine.disease
United States
Defibrillators
Implantable
Surgery
Treatment Outcome
Respiratory failure
Pericardiocentesis
Heart failure
Female
Cardiology and Cardiovascular Medicine
Complication
business
Zdroj: Journal of Cardiovascular Electrophysiology. 29:1425-1435
ISSN: 1045-3873
Popis: BACKGROUND The utilization of cardiac resynchronization therapy defibrillator (CRT-D) has increased significantly, since its initial approval for use in selected patients with heart failure. Limited data exist as for current trends in implant-related in-hospital complications and cost utilization. The aim of our study was to examine in-hospital complication rates associated with CRT-D and their trends over the last decade. METHODS AND RESULTS Using the Nationwide Inpatient Sample, we estimated 378 248 CRT-D procedures from 2003 to 2012. We investigated common complications, including mechanical, cardiovascular, pericardial complications (hemopericardium, cardiac tamponade, or pericardiocentesis), pneumothorax, stroke, vascular complications (consisting of hemorrhage/hematoma, incidents requiring surgical repair, and accidental arterial puncture), and in-hospital deaths described with CRT-D, defining them by the validated International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code. Mechanical complications (5.9%) were the commonest, followed by cardiovascular (3.6%), respiratory failure (2.4%), and pneumothorax (1.5%). Age (≥65 years), female gender (OR, 95% CI; P value) (1.08, 1.03-1.13; 0.001), and the Charlson score ≥3 (1.52, 1.45-1.60
Databáze: OpenAIRE
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