Impacts of a care process model and inpatient electrophysiology service on cardiovascular implantable electronic device infections: a preliminary evaluation

Eugene M. Tan, Avish Nagpal, Daniel C. DeSimone, Brenda Anderson, Jane Linderbaum, Thomas de Ziel, Zhuo Li, Muhammad R. Sohail, Yong-Mei Cha, Erica Loomis, Raul Emilio Espinosa, Paul Andrew Friedman, Kevin Greason, Henry Schiller, Abinash Virk, Walter R. Wilson, James M. Steckelberg, Larry M. Baddour

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: Cardiovascular implantable electronic device infection (CIEDI) rates are rising. To improve outcomes, our institution developed an online care process model (CPM) and a specialized inpatient heart rhythm service (HRS). Methods: This retrospective review compared hospital length of stay (LOS), mortality, and times to subspecialty consultation and procedures before and after CPM and HRS availability. Results: CPM use was associated with shortened time to surgical consultation (median 2 days post-CPM vs. 3 days pre-CPM, p = 0.0152), pocket closure (median 4 vs. 5 days, p < 0.0001), and days to new CIED implant (median 7 vs. 8 days, p = 0.0126). Post-HRS patients were more likely to have a surgical consultation (OR 7.01, 95% CI 1.56–31.5, p = 0.011) and shortened time to pocket closure (coefficient − 2.21 days, 95% CI − 3.33 to − 1.09, p < 0.001), compared to pre-HRS. Conclusions: The CPM and HRS were associated with favorable outcomes, but further integration of CPM features into hospital workflow is needed.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of Interventional Cardiac Electrophysiology
DOIs
StateAccepted/In press - Aug 26 2017

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Electrophysiology
Inpatients
Equipment and Supplies
Infection
Referral and Consultation
Length of Stay
Workflow
Mortality

Keywords

  • Cardiac device
  • CRT
  • ICD
  • Infection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Impacts of a care process model and inpatient electrophysiology service on cardiovascular implantable electronic device infections : a preliminary evaluation. / Tan, Eugene M.; Nagpal, Avish; DeSimone, Daniel C.; Anderson, Brenda; Linderbaum, Jane; de Ziel, Thomas; Li, Zhuo; Sohail, Muhammad R.; Cha, Yong-Mei; Loomis, Erica; Espinosa, Raul Emilio; Friedman, Paul Andrew; Greason, Kevin; Schiller, Henry; Virk, Abinash; Wilson, Walter R.; Steckelberg, James M.; Baddour, Larry M.

In: Journal of Interventional Cardiac Electrophysiology, 26.08.2017, p. 1-8.

Research output: Contribution to journalArticle

Tan, EM, Nagpal, A, DeSimone, DC, Anderson, B, Linderbaum, J, de Ziel, T, Li, Z, Sohail, MR, Cha, Y-M, Loomis, E, Espinosa, RE, Friedman, PA, Greason, K, Schiller, H, Virk, A, Wilson, WR, Steckelberg, JM & Baddour, LM 2017, 'Impacts of a care process model and inpatient electrophysiology service on cardiovascular implantable electronic device infections: a preliminary evaluation', Journal of Interventional Cardiac Electrophysiology, pp. 1-8. https://doi.org/10.1007/s10840-017-0282-2
Tan, Eugene M. ; Nagpal, Avish ; DeSimone, Daniel C. ; Anderson, Brenda ; Linderbaum, Jane ; de Ziel, Thomas ; Li, Zhuo ; Sohail, Muhammad R. ; Cha, Yong-Mei ; Loomis, Erica ; Espinosa, Raul Emilio ; Friedman, Paul Andrew ; Greason, Kevin ; Schiller, Henry ; Virk, Abinash ; Wilson, Walter R. ; Steckelberg, James M. ; Baddour, Larry M. / Impacts of a care process model and inpatient electrophysiology service on cardiovascular implantable electronic device infections : a preliminary evaluation. In: Journal of Interventional Cardiac Electrophysiology. 2017 ; pp. 1-8.
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AU - Anderson, Brenda

AU - Linderbaum, Jane

AU - de Ziel, Thomas

AU - Li, Zhuo

AU - Sohail, Muhammad R.

AU - Cha, Yong-Mei

AU - Loomis, Erica

AU - Espinosa, Raul Emilio

AU - Friedman, Paul Andrew

AU - Greason, Kevin

AU - Schiller, Henry

AU - Virk, Abinash

AU - Wilson, Walter R.

AU - Steckelberg, James M.

AU - Baddour, Larry M.

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