@article{6ed9a12a12c4487994742a75a4cd365c,
title = "Impacts of a care process model and inpatient electrophysiology service on cardiovascular implantable electronic device infections: a preliminary evaluation",
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.",
keywords = "CRT, Cardiac device, ICD, Infection",
author = "Tan, {Eugene M.} and Avish Nagpal and DeSimone, {Daniel C.} and Brenda Anderson and Jane Linderbaum and {De Ziel}, Thomas and Zhuo Li and Sohail, {Muhammad R.} and Cha, {Yong Mei} and Erica Loomis and Raul Espinosa and Friedman, {Paul A.} and Kevin Greason and Henry Schiller and Abinash Virk and Wilson, {Walter R.} and Steckelberg, {James M.} and Baddour, {Larry M.}",
note = "Funding Information: The authors are grateful for the philanthropic gift from Eva and Gene Lane (L.M.B.), and for two Mayo Named Professorships?the Edward C. Rosenow III, M.D. Professorship in the Art of Medicine (W.R.W.), and the HH Sheikh Khalifa Bin Zayed Al-Nahyan Professorship in Infectious Diseases Honoring Walter R. Wilson, M.D. (L.M.B.)?which were paramount in our work to advance the science of cardiovascular infections, which has been an ongoing focus of investigation at Mayo Clinic for over 60?years. Muhammad R. Sohail, MD, has a research grant from Medtronic and has also received consulting fees (all less than $10,000) from Medtronic, Spectranetics, and Boston Scientific. Larry M. Baddour, MD, has received royalty payments from UpToDate and has received payments for Editor-in-Chief duties from Massachusetts Medical Society (NEJM Journal Watch Infectious Diseases). The authors are grateful for the philanthropic gift from Eva and Gene Lane (L.M.B.), and for two Mayo Named Professorships?the Edward C. Rosenow III, M.D. Professorship in the Art of Medicine (W.R.W.), and the HH Sheikh Khalifa Bin Zayed Al-Nahyan Professorship in Infectious Diseases Honoring Walter R. Wilson, M.D. (L.M.B.)?which were paramount in our work to advance the science of cardiovascular infections, which has been an ongoing focus of investigation at Mayo Clinic for over 60?years. Publisher Copyright: {\textcopyright} 2017, Springer Science+Business Media, LLC.",
year = "2017",
month = oct,
day = "1",
doi = "10.1007/s10840-017-0282-2",
language = "English (US)",
volume = "50",
pages = "117--124",
journal = "Journal of Interventional Cardiac Electrophysiology",
issn = "1383-875X",
publisher = "Springer Netherlands",
number = "1",
}