Pneumothorax in cardiac pacing: a population-based cohort study of 28 860 Danish patients
Key result
Venous access with subclavian vein puncture was strongly associated with pneumothorax requiring a chest tube (OR 7.8; 95% CI 4.9-12.5).
Why the study?
What are the risk factors for pneumothorax treated with a chest tube following cardiac pacing device implantation?
Population
28,860 Danish patients receiving their first pacemaker or cardiac resynchronization device from 1997 to…
Design
Cohort
Authors
Discussion
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Implication
Alerts clinicians to higher pneumothorax risk in women and octogenarians; leaves open optimal prevention strategies pending interventional trials.
Study Design
Type
Cohort (n=28,860)
Multicenter
Yes
Structured PICO
What are the risk factors for pneumothorax treated with a chest tube following cardiac pacing device implantation?
P
Population
28,860 Danish patients receiving their first pacemaker or cardiac resynchronization device between 1997 and 2008.
E
Exposure
Cardiac pacing device implantation (pacemaker or cardiac resynchronization device)
O
Outcome
Pneumothorax treated with a chest tubesafety
Main Result
Odds Ratio: 7.8 (95% CI 4.9–12.5)
Subclavian vein puncture is a major risk factor for pneumothorax during pacemaker implantation, suggesting cephalic vein cut-down should be preferred to minimize this complication.
Cite This Study
Kirkfeldt et al. (2012) conducted a cohort in Cardiac pacing device implantation (n=28,860). Venous access with subclavian vein puncture vs. Other venous access techniques was evaluated on Pneumothorax treated with a chest tube (OR 7.8, 95% CI 4.9-12.5). Venous access with subclavian vein puncture was strongly associated with pneumothorax requiring a chest tube (OR 7.8; 95% CI 4.9-12.5).