Key result
Permanent cardiac pacemaker implantation was found to be unwarranted in a significant portion of cases, with 20% of 382 implants classified as not indicated and 36% as possibly indicated.
Population
382 Medicare patients who received new permanent cardiac pacemakers at 30 hospitals in Philadelphia County…
Design
Cross-sectional
Authors
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May warrant audits of pacemaker indications; leaves open whether overuse persists in modern practice.
Observational (n=382)
Yes
A significant proportion of permanent pacemaker implantations in 1983 were found to be inadequately documented or not indicated based on standard clinical practice.
Greenspan et al. (1988) conducted an observational in Permanent cardiac pacemaker implantation (n=382). Permanent cardiac pacemaker implantation was evaluated on Appropriateness of indications for pacemaker implantation. Permanent cardiac pacemaker implantation was found to be unwarranted in a significant portion of cases, with 20% of 382 implants classified as not indicated and 36% as possibly indicated.
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