2000, English, Article edition: Hospital readmission after transvenous cardioverter/defibrillator implantation. A single centre study Korte, T.; Jung, W.; Ostermann, G.; ...

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Physical Description
  • text/​html
Published
  • Oxford University Press
  • 2000-07-02 00:00:00.0
Language
  • English

Edition details

Title
  • Hospital readmission after transvenous cardioverter/​defibrillator implantation. A single centre study
Author
  • Korte, T.
  • Jung, W.
  • Ostermann, G.
  • Wolpert, C.
  • Spehl, S.
  • Esmailzadeh, B.
  • Lüderitz, B.
Published
  • Oxford University Press
  • 2000-07-02 00:00:00.0
Physical Description
  • text/​html
Subjects
Notes
  • Aims Hospital readmission after implantation of cardioverter/​defibrillators has a major impact on quality of life and cost-effectiveness in defibrillator patients. Rehospitalization has not been studied in large patient populations with modern transvenous defibrillation systems. Methods and Results We report on incidence, reasons, time in follow-up, duration and predictors of hospital readmission in 180 patients after transvenous implantation of a cardioverter/​defibrillator during a follow-up period of 25±18 months. There were 156 readmissions in 79 patients with a 0·87 readmission rate per patient during the time followed, a 0·46 readmission rate per patient-year of follow-up and a 0·38 readmission rate per patient-year of follow-up for cardiac reasons. The majority of readmissions was caused by multiple appropriate shock interventions (26%), battery depletion (19%) and lead- and device-related complications (14%). The time to first hospital readmission was 12±9 months for arrhythmia-related and 20±16 months for other cardiac-related reasons ( P <0·05), and could not be predicted by clinical variables, respectively. The duration of rehospitalization was 14±15 days for cardiac-related reasons and 12±17 days for arrhythmia-related reasons. Age >60 years was an independent predictor of rehospitalization time per patient-year of follow-up for both cardiac-related ( P <0·005) and arrhythmia-related reasons ( P <0·05). Conclusion The rate of hospital readmission per patient-year of follow-up is as high as 0·46 after implantation of a modern cardioverter/​defibrillator. Rehospitalization time in such patients is significantly longer in the patient cohort >60 years. The majority of readmissions is caused by multiple appropriate shock treatments. Further studies are needed to systematically investigate strategies for the prevention of rehospitalization in modern ICD therapy.
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  • Copyright (C) 2000, European Society of Cardiology
Language
  • English
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