A nurse-led implantable loop recorder service is safe and cost effective.
J Cardiovasc Electrophysiol
; 30(12): 2900-2906, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31578806
ABSTRACT
INTRODUCTION:
Implantable loop recorders (ILR) are predominantly implanted by cardiologists in the catheter laboratory. We developed a nurse-delivered service for the implantation of LINQ (Medtronic; Minnesota) ILRs in the outpatient setting. This study compared the safety and cost-effectiveness of the introduction of this nurse-delivered ILR service with contemporaneous physician-led procedures.METHODS:
Consecutive patients undergoing an ILR at our institution between 1st July 2016 and 4th June 2018 were included. Data were prospectively entered into a computerized database, which was retrospectively analyzed.RESULTS:
A total of 475 patients underwent ILR implantation, 271 (57%) of these were implanted by physicians in the catheter laboratory and 204 (43%) by nurses in the outpatient setting. Six complications occurred in physician-implants and two in nurse-implants (P = .3). Procedural time for physician-implants (13.4 ± 8.0 minutes) and nurse-implants (14.2 ± 10.1 minutes) were comparable (P = .98). The procedural cost was estimated as £576.02 for physician-implants against £279.95 with nurse-implants, equating to a 57.3% cost reduction. In our center, the total cost of ILR implantation in the catheter laboratory by physicians was £10 513.13 p.a. vs £6661.55 p.a. with a nurse-delivered model. When overheads for running, cleaning, and maintaining were accounted for, we estimated a saving of £68 685.75 was performed by moving to a nurse-delivered model for ILR implants. Over 133 catheter laboratory and implanting physician hours were saved and utilized for other more complex procedures.CONCLUSION:
ILR implantation in the outpatient setting by suitably trained nurses is safe and leads to significant financial savings.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Papel do Médico
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Custos de Cuidados de Saúde
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Monitorização Ambulatorial
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Papel do Profissional de Enfermagem
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Tecnologia de Sensoriamento Remoto
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Assistência Ambulatorial
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article