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Australian researchers have discovered that on average one in 12 people who have an implanted cardiac device suffers from major complications within three months that have caused their readmission to the hospital.
Dr. Isuru Ranasinghe says that there is a high level of complication for such a common procedure.
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The complication rate varies from three times to the hospital where the intervention was completed.
The study examined more than 80,000 patients across Australia and New Zealand – most with permanent pacemakers and some with implantable defibrillators.
"Complications badociated with implantable cardiovascular electronic devices (EDIDs) are common in 8.2% of patients implanted with new devices with a major device-related complication within 90 days of their operation." The complications experienced by patients vary between two and three times that the quality of CIED care varies significantly, "said the study.
The lead author, Dr. Isuru Ranasinghe, a cardiologist at the University of Adelaide, said that it was a high complication level for a procedure as well. common.
"And these are not trivial events either, these are fairly serious complications, or any complication that has brought a patient back to the hospital again within 90 days," said Dr. Ranasinghe.
He added that common problems include bleeding at the site of the wound, sometimes an infection at the implant level and others where the wires in the heart have been displaced. Some complications require additional operations.
"A whole series of complications can occur and they can often be quite serious," he said. "And these are also very costly complications, I think that a US study suggests between $ 5,000 and $ 20,000 per complication, which probably makes it a major source of preventable health care costs."
The study involved 174 hospitals in Australia and New Zealand. It is published today in the Annals of Internal Medicine.
"This means that some hospitals are clearly more able to perform these procedures in a safer way, so if some hospitals show rates of four or five percent, others reach 14-15% – that is a big difference, "said Dr. Ranasinghe.
"What he tells us is that this risk is modifiable, depending on the hospital or institution in which you are going."
According to Dr. Ranasinghe, one of the conditions for obtaining the data was that they could not publish any of the hospitals.
It advocates that ministries report hospital-specific complication rates for full transparency.
Dr. Ranasinghe said that CIED can potentially save lives. He said the research was not meant to discourage anyone from getting one because they feared the rates of complications. He added that the goal was to encourage hospitals to improve their systems to make the procedure safer.
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