What question did this study set out to answer?

To assess national pacemaker implantation rates, operative outcomes, and post-procedural social and occupational rehabilitation in Britain during 1975.

November 13, 1976BMJOpen Access

Use of cardiac pacemakers in Britain.

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Population

Patients receiving cardiac pacemakers in Britain between 1973 and 1975, including national statistics and a…

Design

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Authors

ESE SowtonGuy's Hospital

Discussion

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Implication

1975 British pacing data offer a historical benchmark of low mortality and preserved function; leaves open how outcomes have evolved with modern devices and populations.

Key Points

To assess national pacemaker implantation rates, operative outcomes, and post-procedural social and occupational rehabilitation in Britain during 1975.
Audited national clinical data across Britain for the year 1975, recording generator utilization, procedure costs, surgical access approaches, and complication rates.
Evaluated patient outcomes, including operative mortality, electrode displacement, driving eligibility, accident risks, employment resumption, and leisure activity levels in recipients with an average age of 70.
Pacemakers were implanted at a rate of 56 new patients per million population using 6,000 generators, representing a 150% increase since 1972 despite being one-third the rate of other Western nations.
Over 90% of primary implantations utilized the transvenous route, with an operative mortality of 0.3% and an electrode repositioning rate of 10%.
Most patients maintained driving licenses without increased accident risk, almost all seeking work resumed employment, and approximately 80% maintained or increased their pre-implantation leisure activity.

Structured PICO

Population

Patients receiving cardiac pacemakers in Britain between 1973 and 1975, including national statistics (approx 6,000 generators implanted in 1975) and a specific series of 600 patients from Guy's Hospital. Average age at first implantation was 70.

Intervention

Cardiac pacemaker implantation (predominantly transvenous route, demand-type, mercury-powered generators, with emerging use of lithium-iodide and isotope-powered units)

Outcome

Implantation rates, generator performance, operative complications, and social effects (employment, driving licenses, motor insurance, and leisure activities)

Cardiac pacemaker implantation rates in Britain increased significantly by 1975, with low mortality and favorable social outcomes allowing most patients to maintain employment, driving, and leisure activities.

Cite This Study

E Sowton (1976) studied this question.

synapsesocial.com/papers/6a9677ea2af794539aa6b77f https://doi.org/10.1136/bmj.2.6045.1182

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Implication

1975 British pacing data offer a historical benchmark of low mortality and preserved function; leaves open how outcomes have evolved with modern devices and populations.

Use of cardiac pacemakers in Britain.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Use of cardiac pacemakers in Britain.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Also Consider