Temporary cardiac pacemaker treatment in five Norwegian regional hospitals
| Autor: | Frode Thorup, Jan Erik Otterstad, Torstein Gundersen, Erik Gjertsen, Carl Christian Lagethon Bjørnstad, Kristian Tobiasson |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Pacemaker Artificial Time Factors Cardiac pacing medicine.medical_treatment Norwegian Risk Assessment Cardiac pacemaker Young Adult medicine Humans Hospital Mortality Prospective Studies Registries Practice Patterns Physicians' Prospective cohort study Aged Quality of Health Care Aged 80 and over business.industry Norway Incidence (epidemiology) Cardiac Pacing Artificial Bacterial Infections Middle Aged medicine.disease Quality Improvement language.human_language Hospitals Temporary Pacemaker Outcome and Process Assessment Health Care Treatment Outcome Emergency medicine Practice Guidelines as Topic language Female Medical emergency Guideline Adherence Patient Safety Permanent pacemaker Cardiology and Cardiovascular Medicine Risk assessment business |
| Zdroj: | Scandinavian cardiovascular journal : SCJ. 46(3) |
| ISSN: | 1651-2006 |
| Popis: | Over the last few decades the number of temporary pacemaker placements has declined, while the number of operators has increased. The present study was undertaken in order to assess the quality of present day temporary pacing in Norwegian general hospitals.Prospective, multi-center study from five general hospitals in Norway with a catchment area of 998,000 inhabitants. All temporary pacing procedures performed at these hospitals during a 1-year period should be registered.Fifty patients were treated with temporary pacing and six repeated procedures were performed due to pacing failure. The yearly procedure-rate was five per 100,000 inhabitants. Twenty-nine physicians were involved in these procedures, of whom five were experienced implanters, and 18 physicians participated in only one procedure each. Following temporary pacing a permanent pacemaker was implanted in 60% of patients. In-hospital mortality was 18%, and the incidence of bacteremia was 6%.Temporary pacemaker treatment is currently performed with less than the required amount of skill, with a high number of complications. Cardiologists on call and the possibility of fast-track permanent implantation could improve the quality of care of patients with acute bradyarrhythmias. |
| Databáze: | OpenAIRE |
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