Key result
Bradycardia pacemaker implantations performed by cardiology trainees had a higher short-term complication rate than those by experienced cardiologists (17.4% vs 7.7%, P=0.001).
Why the study?
What is the short-term complication rate of cardiac rhythm management device implantations, and does operator experience affect this rate?
Population
567 cardiac rhythm management device implantations, pacing system upgrade procedures, or lead revisions at a…
Comparison
Cardiac rhythm management device implantation vs Implantations performed by experienced…
Design
Cohort
Follow-up
<3 months
Authors
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Trainee implantations were associated with higher short-term complications; leaves open whether structured supervision improves outcomes in real-world cohorts.
Observational (n=567)
No
What is the short-term complication rate of cardiac rhythm management device implantations, and does operator experience affect this rate?
Absolute Event Rate: 17.4% vs 7.7%
p-value: p=0.001
Short-term complications of CRM device implantations remain frequent (12.2%) and are significantly higher when performed by trainees compared to experienced cardiologists, leading to prolonged hospital stays and additional surgeries.
Pakarinen et al. (2009) conducted an observational in Cardiac rhythm management device implantation (n=567). Implantation by cardiology trainees vs. Implantation by experienced cardiologists was evaluated on Short-term (<3 months) complication rate (p=0.001). Bradycardia pacemaker implantations performed by cardiology trainees had a higher short-term complication rate than those by experienced cardiologists (17.4% vs 7.7%, P=0.001).
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