Key result
The establishment of a local permanent pacemaker service increased the pacemaker implantation rate from 22 to 152 per million population per year over 6 years.
Observational
No
Absolute Event Rate: 152% vs 22%
Establishing local pacemaker services in district general hospitals can significantly increase appropriate pacemaker implantation rates to levels comparable with specialist centers.
May support local pacemaker services in district hospitals; hypothesis-generating for outcomes and appropriateness.
The establishment of a local permanent pacemaker service in a district general hospital increased the pacemaker implantation rate from 22 per million population per year to 152 per million population per year over the first 6 years of the service. Forty eight per cent of patients were referred by general practitioners and 52% by hospital specialists. Single chamber demand pacing (VVI) was used exclusively. Indications for pacing and complications were comparable to those of specialist cardiac centres. Management of symptomatic bradycardia by cardiac pacing in the United Kingdom may be facilitated by further development of small pacing centres.
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Godden et al. (1987) conducted an observational in Symptomatic bradycardia. Local permanent pacemaker service vs. Prior to service establishment was evaluated on Pacemaker implantation rate per million population per year. The establishment of a local permanent pacemaker service increased the pacemaker implantation rate from 22 to 152 per million population per year over 6 years.
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