Effect of age on in-hospital outcomes of transvenous lead extraction for infected cardiac implantable electronic device.
Pacing Clin Electrophysiol
; 47(4): 577-582, 2024 04.
Article
em En
| MEDLINE
| ID: mdl-38319639
ABSTRACT
BACKGROUND:
The real-world data on the safety profile of transvenous lead extraction (TLE) for infected cardiac implantable electronic devices (CIED) among elderly patients is not well-established. This study aimed to evaluate the hospital outcomes between patients of different age groups who underwent TLE for infected CIED.METHOD:
Using the Nationwide Readmissions Database, our study included patients aged ≥18 years who underwent TLE for infected CIED between 2017 and 2020. We divided the patients into four groups Group A. Young (<50 years), Group B. Young intermediate (50-69 years old), Group C. Older intermediate (70-79 years old), and Group D. Octogenarian (≥80 years old). We then analyzed the in-hospital outcome and 30-day readmission between these age groups.RESULTS:
A total of 10,928 patients who were admitted for TLE of infected CIED were included in this study 982 (9.0%) patients in group A, 4,234 (38.7%) patients in group B, 3,204 (29.3%) patients in group C and 2,508 (23.0%) of patients in group D. Our study demonstrated that the risk of early mortality increased with older age (Group B vs. Group A OR 1.92, 95% CI 1.19-3.09, p < .01; Group C vs. Group A OR 2.47, 95% CI 1.51-4.04, p < .01; Group D vs. Group A OR 2.82, 95% CI 1.69-4.72, p < .01). The risk of non-home discharge also increased in elderly groups (Group B vs. Group A OR 1.89; 95% CI 1.52-2.36; p < .01; Group C vs. Group A OR 2.82; 95% CI 2.24-3.56; p < .01; Group D vs. Group A OR 4.16; 95% CI 3.28-5.28; p < .01). There was no significant difference in hospitalization length and 30-day readmission between different age groups. Apart from a higher rate of open heart surgery in group A, the procedural complications were comparable between these age groups.CONCLUSION:
Elderly patients had worse in-hospital outcomes in early mortality and non-home discharge following the TLE for infected CIED. There was no significant difference between elderly and non-elderly groups in prolonged hospital stay and 30-day readmission. Elderly patients did not have a higher risk of procedural complications.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
/
Desfibriladores Implantáveis
Limite:
Adolescent
/
Adult
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Aged
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Aged80
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Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article