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May 1, 2013Indian Pacing and Electrophysiology JournalOpen Access

Patient Preferences Regarding Device Reuse and Potential of Devices for Reuse - A Study in a Veteran Population

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Why the study?

What are veteran patients' preferences regarding post-mortem handling of cardiac devices, and what is the potential for device reuse?

Population

Veterans with implanted cardiac devices (n=97 surveyed, n=161 in retrospective chart review)

Design

Cross-sectional

Authors

IIIndiresha R. IyerJMJudith A. MackallUniversity Hospitals of Cleveland

Discussion

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Implication

Supports device donation discussions in veteran end-of-life care; leaves open feasibility of systematic ICD reuse programs.

Structured PICO

What are veteran patients' preferences regarding post-mortem handling of cardiac devices, and what is the potential for device reuse?

P
Population
Veterans with implanted cardiac devices (n=97 surveyed, n=161 in retrospective chart review)
I
Intervention
Survey on preferences for post-mortem device handling and retrospective chart review to estimate reuse potential
O
Outcome
Patient preferences for post-mortem handling of devices and proportion of devices with reuse potentialpatient reported

A substantial proportion of veterans are willing to donate their cardiac devices for reuse, and a significant number of explanted ICDs have viable battery life for potential reuse in low-resource settings.

Cite This Study

Iyer et al. (2013) studied this question.

synapsesocial.com/papers/6a72da5c52863cde5054397ehttps://doi.org/10.1016/s0972-6292(16)30626-x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postmortem Interrogation and Retrieval of Implantable Pacemakers and Defibrillators: A Survey of Morticians and Patients2007 · 68 citations
  2. 2Recovery of Pacemakers and Defibrillators for Analysis and Device Advance Directives: Electrophysiologists’ Perspectives2011 · 23 citations
  3. 3Safety, Efficacy, and Performance of Implanted Recycled Cardiac Rhythm Management (CRM) Devices in Underprivileged Patients2011 · 23 citations
  4. 4Impact of ICD Battery Longevity on Need for Device Replacements-Insights from a Veterans Affairs Database2009 · 14 citations
  5. 5Donation of explanted pacemakers for reuse in underserved nations2010 · 9 citations