التفاصيل البيبلوغرافية
| العنوان: |
Device infection in patients undergoing pacemaker or defibrillator surgery: risk stratification using the PADIT score. |
| المؤلفون: |
de Heide, John, van der Graaf, Marisa, Holl, Marijn J., Hoogendijk, Mark G., Bhagwandien, Rohit E., Wijchers, Sip A., Theuns, Dominic A. M. J., Szili-Torok, Tamas, Zijlstra, Felix, Lenzen, Mattie J., Yap, Sing-Chien |
| المصدر: |
Journal of Interventional Cardiac Electrophysiology; Sep2024, Vol. 67 Issue 6, p1419-1426, 8p |
| مستخلص: |
Background: The use of an antibacterial envelope is cost-effective for patients at high risk of developing cardiac implantable electronic device (CIED) infection. The identification of these high-risk patients may be facilitated using a clinical risk score. The aim of the current study is to evaluate the PADIT score for identifying high-risk patients in patients undergoing a CIED procedure in a tertiary academic center. Methods: This was a retrospective single-center study of consecutive patients undergoing a CIED procedure between January 2016 and November 2021. Patients who received an antibacterial envelope were excluded from this study. The primary endpoint was hospitalization for a CIED infection in the first year after the procedure. Results: A total of 2333 CIED procedures were performed in the study period (mean age 61.6 ± 16.3 years, male sex 64.5%, previous CIED infection 1.7%, immunocompromised 5.4%). The median PADIT score was 4 (interquartile range, 2–6). CIED infection occurred in 10 patients (0.43%). The PADIT score had good discrimination in predicting major CIED infection (C-statistic 0.70; 95% confidence interval [CI] 0.54 to 0.86, P = 0.03). Using an optimal PADIT score cut-off value of 7, the risk of CIED infection was higher in the patients with a PADIT score of ≥ 7 in comparison to those with a lower PADIT score (1.23% vs. 0.26%, P = 0.02; odds ratio 4.8, 95% CI 1.4 to 16.6, P = 0.01). Conclusions: The PADIT score is a clinically useful score for identifying patients at high risk of developing CIED infection. The use of an antibacterial envelope in these high-risk patients may be cost-effective. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Interventional Cardiac Electrophysiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |