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September 12, 2020European Journal of Internal MedicineOpen Access

Seventeen-year trend (2001–2017) in pacemaker and implantable cardioverter-defibrillator utilization based on hospital discharge database data: An analysis by age groups

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Why the study?

To analyze temporal trends (2001-2017) of PM and ICD procedures in Italy across different age groups using national hospital discharge data.

How has the utilization and implant rate of pacemakers and implantable cardioverter-defibrillators changed in Italy between 2001 and 2017?

Population

Patients undergoing PM and ICD procedures in Italy from 2001 to 2017

Comparison

Temporal trends across age groups (<50, 50-79, and ≥80 years)

Design

National database observational study

Key result

Between 2001 and 2017 in Italy, first pacemaker implant rates increased from 637 to 820 per million, and ICD implant rates increased from 54 to 400 per million.

Authors

MZMassimo ZecchinMTMarina TorreECE. Carrani

Discussion

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Member takes

Overview

Rising Italian device implant rates signal growing resource needs; extends European trends but leaves open appropriateness and outcome data.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

How has the utilization and implant rate of pacemakers and implantable cardioverter-defibrillators changed in Italy between 2001 and 2017?

P
Population
Italian population undergoing pacemaker, ICD, or CRT-D implantation between 2001 and 2017, analyzed by age groups.
E
Exposure
Pacemaker (PM), Implantable Cardioverter-Defibrillator (ICD), and Cardiac Resynchronization Therapy-Defibrillator (CRT-D) implantation
C
Comparator
Temporal comparison (2001 vs 2017)
O
Outcome
Frequency and implant rate (IR) of PM and ICD procedures in the Italian population

Device utilization in Italy significantly increased from 2001 to 2017, driven by population aging for pacemakers and expanded indications for ICDs and CRT-Ds.

Cite This Study

Zecchin et al. (2020) conducted an observational in Pacemaker and Implantable Cardioverter-Defibrillator utilization. Time period (2017 vs 2001) vs. 2001 baseline was evaluated on Frequency and implant rate of PM and ICD procedures. Between 2001 and 2017 in Italy, first pacemaker implant rates increased from 637 to 820 per million, and ICD implant rates increased from 54 to 400 per million.

synapsesocial.com/papers/6a96e901e74d3ce0150210cbhttps://doi.org/10.1016/j.ejim.2020.09.003
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Also Consider

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

  1. 1Registro Italiano Pacemaker e Defibrillatori Bollettino Periodico 2017 Associazione Italiana di Aritmologia e Cardiostimolazione2019 · 16 citations
  2. 2Registro Italiano Pacemaker e Defibrillatori - Bollettino Periodico 2018. Associazione Italiana di Aritmologia e Cardiostimolazione2020 · 18 citations
  3. 3The validity of hospital administrative data for outcome measurement after hip replacement2024 · 4 citations
  4. 4Impact of the Main Implantable Cardioverter‐Defibrillator Trials for Primary and Secondary Prevention in Italy: A Survey of the National Activity During the Years 2001–20042006 · 27 citations
  5. 5Impact of the main implantable cardioverter-defibrillator trials in clinical practice: data from the Italian ICD Registry for the years 2005-072008 · 60 citations