Bradycardia pacemaker implantations performed by cardiology trainees had a higher short-term complication rate than those by experienced cardiologists (17.4% vs 7.7%, P=0.001).
Observational (n=567)
No
What is the short-term complication rate of cardiac rhythm management device implantations, and does operator experience affect this rate?
Short-term complications of CRM device implantations remain frequent (12.2%) and are significantly higher when performed by trainees compared to experienced cardiologists, leading to prolonged hospital stays and additional surgeries.
Absolute Event Rate: 17.4% vs 7.7%
p-value: p=0.001
AIMS: The aim of this study was to evaluate the current short-term (80% of all complications. The complication rate was more than twice as high in bradycardia pacemaker (PM) implantations performed by cardiology trainees (17.4%) than by experienced cardiologists (7.7%, P = 0.001). When performed by experienced cardiologists, the complication rate was not higher in implantations of more complex devices compared with that of bradycardia PMs. Fifty-two of the 69 patients needed additional surgical procedures. Altogether, the complications required 504 additional treatment days in hospital. CONCLUSION: In conclusion, our retrospective 1-year single-centre survey shows that short-term implantation-related complications of contemporary device therapy are still frequent, occur much more frequently by trainees than by cardiologists, require a large number of additional surgical procedures, and substantially prolong the hospital stay.
Pakarinen et al. (Thu,) conducted a observational in Cardiac rhythm management device implantation (n=567). Implantation by cardiology trainees vs. Implantation by experienced cardiologists was evaluated on Short-term (<3 months) complication rate (p=0.001). Bradycardia pacemaker implantations performed by cardiology trainees had a higher short-term complication rate than those by experienced cardiologists (17.4% vs 7.7%, P=0.001).