Infection and readmission rate of cardiac implantable electronic device insertions: An observational single center study

Rahman, Riaz; Saba, Samir; Bazaz, Raveen; Gupta, Vasudha; Pokrywka, Marian; Shutt, Kathleen A.; Bridge, Christine; Yassin, Mohamed

doi:10.1016/j.ajic.2015.10.006

Cited by 15 publications

(11 citation statements)

References 32 publications

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“…Da Costa at al. [9] have recently reported that in DM and dialysis patients were statistically found to have increased risk of CIED infections, however in their study, age, sex, cardiomyopathy and antibiotic use were found to be as non-contributing factors [9]. Another study, Bloom et al [21] showed that CIED infections were related to congestive heart failure, DM and anticoagulant treatment.…”

Section: Discussionmentioning

confidence: 89%

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The Infections of Cardiac Implantable Electronic Devices: Four Year Experience of the Center

Deniz¹,

Karaaslan²,

Çelik³

et al. 2018

J Clin Exp Invest

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Cardiac implantable electronic devices (CIED) have been increasingly used in recent years. The incidence of infection has ranged from 0.5 % to 12% in the literature. The purposes of this study was to investigate the frequency of CIED infection and to find the causes of infection. Patients and methods: Totally, 211 patients with CIED infection were retrospectively evaluated. For each patient, all the following data were recorded; age, sex, CIED type, accompanying diseases, complete blood count, serum biochemistry, echocardiographic findings and whether first implantation or replacement. In addition, wound culture, antibiotic regime, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), glomerular filtration rate (GFR) and anticoagulation test results were recorded in infected patients. Results: CIED infection was detected in 18 of the 211 patients (8.5%). 15 cases developed infection following the first implantation (10%), and 3 cases after replacement (5%). Infection was detected within 60 days in 5 patients. CIED pocket cultures were positive in 12 patients (66.7%). 13 of 18 infected devices were removed (72.2%). Diabetes mellitus [Odds Ratio, OR: 4.56 (1.449-14.408)] (p=0.010), male sex [OR: 3.84 (1.034-14.232)] (p=0.045) and increasing age [OR: 0.96 (0.932-0.998)] (p=0.038) were found as significant independent variables on development of CIED; but, pacemaker, implantable cardioverter defibrillator and cardiac resynchronization were not independent variables [OR: 1.66 (0.469-5.929)] (p=0.43). Conclusions: Increasing age, male sex, diabetes mellitus were related to increased frequency of CIED infections. Identification of comorbid conditions prior to CIED implantations may be important in reducing risk of CIED infections.

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Section: Discussionmentioning

confidence: 89%

“…Yet, infection frequency was found to vary in many studies. Da Costa et al [9] recently found that 2.4% of 1326 patients developed CIED related infection. While a study led by Rahman et al [10] showed that 1.9% of 316 patients were diagnosed with CIED infection.…”

Section: Discussionmentioning

confidence: 99%

The Infections of Cardiac Implantable Electronic Devices: Four Year Experience of the Center

Deniz¹,

Karaaslan²,

Çelik³

et al. 2018

J Clin Exp Invest

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“…In addition to morbidity for patients, CIED infection has been linked to increased in-hospital mortality by more than 2-fold (113,114). and higher rates of readmission up to 3 years following a device implantation procedure (114)(115)(116)(117). CIEDs infections are estimated to cost over US$500 million per year worldwide (116,117).…”

Section: Cardiovascular Implantable Electronic Device Infectionsmentioning

confidence: 99%

The “3M” Approach to Cardiovascular Infections: Multimodality, Multitracers, and Multidisciplinary

Sollini

Berchiolli

Delgado-Bolton

et al. 2018

Seminars in Nuclear Medicine

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Cardiovascular infections are associated with high morbidity and mortality. Early diagnosis is crucial for adequate patient management, as early treatment improves the prognosis. The diagnosis cannot be made on the basis of a single symptom, sign, or diagnostic test. Rather, the diagnosis requires a multidisciplinary discussion in addition to the integration of clinical signs, microbiology data, and imaging data. The application of multimodality imaging, including molecular imaging techniques, has improved the sensitivity to detect infections involving heart valves and vessels and implanted cardiovascular devices while also allowing for early detection of septic emboli and metastatic infections before these become clinically apparent. In this review, we describe data supporting the use of a Multimodality, Multitracer, and Multidisciplinary approach (the 3M approach) to cardiovascular infections. In particular, the role of white blood cell SPECT/CT and [F]FDG PET/CT in most prevalent and clinically relevant cardiovascular infections will be discussed. In addition, the needs of advanced hybrid equipment, dedicated imaging acquisition protocols, specific expertise for image reading, and interpretation in this field are discussed, emphasizing the need for a specific reference framework within a Cardiovascular Multidisciplinary Team Approach to select the best test or combination of tests for each specific clinical situation.

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“…. . Introduction: Globally, the number of cardiac device implantations is rising [1][2][3], and the percentage of device related infections also seems to be rising [1,2]. Device related infections are one of the most severe complications of device implantation [4].…”

Section: Department Of Cardiology Royal Adelaide Hospital Adelaidementioning

confidence: 99%

Incidence of Pacemaker Induced Cardiomyopathy in a Prospective Cohort

Ahmed

et al. 2016

Heart, Lung and Circulation

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Infection and readmission rate of cardiac implantable electronic device insertions: An observational single center study

Cited by 15 publications

References 32 publications

The Infections of Cardiac Implantable Electronic Devices: Four Year Experience of the Center

The Infections of Cardiac Implantable Electronic Devices: Four Year Experience of the Center

The “3M” Approach to Cardiovascular Infections: Multimodality, Multitracers, and Multidisciplinary

Incidence of Pacemaker Induced Cardiomyopathy in a Prospective Cohort

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