Epidemiology of cardiac implantable electronic device infections: incidence and risk factors
| Autor: | David H. Birnie, Nathaniel M. Hawkins, Hui-Chen Han, Andrew D. Krahn, Charles M. Pearman |
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| Rok vydání: | 2021 |
| Předmět: |
Pacemaker
Artificial Infection risk medicine.medical_specialty Prosthesis-Related Infections Psychological intervention Prosthesis-Related Infections/diagnosis Defibrillator Pacemaker Artificial/adverse effects Risk Factors Physiology (medical) Epidemiology medicine Humans AcademicSubjects/MED00200 Prospective Studies Intensive care medicine Prospective cohort study Absolute number business.industry Incidence Incidence (epidemiology) Defibrillators Implantable/adverse effects Defibrillators Implantable Cardiac implantable electronic device Pacemaker Hospital treatment Supplement Papers Electronics Infection Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Han, H-C, Hawkins, N M, Pearman, C M, Birnie, D H & Krahn, A D 2021, ' Epidemiology of cardiac implantable electronic device infections : incidence and risk factors ', Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, vol. 23, no. 23, pp. 3-10 . https://doi.org/10.1093/europace/euab042 Europace |
| ISSN: | 1532-2092 1099-5129 |
| DOI: | 10.1093/europace/euab042 |
| Popis: | Cardiac implantable electronic device (CIED) infection is a potentially devastating complication of CIED procedures, causing significant morbidity and mortality for patients. Of all CIED complications, infection has the greatest impact on mortality, requirement for re-intervention and additional hospital treatment days. Based on large prospective studies, the infection rate at 12-months after a CIED procedure is approximately 1%. The risk of CIED infection may be related to several factors which should be considered with regards to risk minimization. These include technical factors, patient factors, and periprocedural factors. Technical factors include the number of leads and size of generator, the absolute number of interventions which have been performed for the patient, and the operative approach. Patient factors include various non-modifiable underlying comorbidities and potentially modifiable transient conditions. Procedural factors include both peri-operative and post-operative factors. The contemporary PADIT score, derived from a large cohort of CIED patients, is useful for the prediction of infection risk. In this review, we summarize the key information regarding epidemiology, incidence and risk factors for CIED infection. Graphical Abstract |
| Databáze: | OpenAIRE |
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