Sistema de Salut de Catalunya
Institut Català de la Salut
[Sanders P] Department of Cardiology, Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide Adelaide, Australia. Royal Adelaide Hospital, Adelaide, Australia. [Piorkowski C] Herzzentrum Dresden- Abteilung für Invasive Elektrophysiologie, Dresden, Germany. [Kragten JA] Zuyderland Medisch Centrum Heerlen, Heerlen, Netherlands. [Goode GK] Blackpool, Fylde and Wyre Hospitals, NHS Foundation, Blackpool, UK. [Raj SR] Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada. [Dinh T] Maastricht University Medical Center, Maastricht, Netherlands. [Moya-Mitjans A] Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Vall d'Hebron Barcelona Hospital Campus
2019-08-20T05:53:25Z
2019-08-20T05:53:25Z
2019-05-31
Duration; Holding area; Insertable cardiac monitor
Duració; Sala d'espera; Monitor cardíac inserible
Duración; Sala de espera; Monitor cardíaco insertable
BACKGROUND: Historically, the majority of insertable cardiac monitor (ICM) procedures were performed in the cardiac catheterization (cath) lab, electrophysiology (EP) lab, or operating room (OR). The miniaturization of ICMs allows the procedure to be relocated within the hospital without compromising patient safety. We sought to estimate the rate of untoward events associated with procedures performed within the hospital but outside the traditional settings and to characterize resource utilization, procedure time intervals, and physician experience. METHODS: The Reveal LINQ in-Office 2 (RIO 2) International study was a single arm, multicenter, prospective study. Patients indicated for an ICM and willing to undergo device insertion outside the cath/EP lab or OR were eligible and followed for 90 days after insertion. RESULTS: A total of 191 patients (45.5% female aged 63.8 ± 26.9 years) underwent successful Reveal LINQ ICM insertion at 17 centers in Europe, Canada and Australia. The median total visit duration was 106 min (interquartile range [IQR]: 55-61). Patient preparation and patient education accounted for 10 min (IQR: 5-20) and 10 min (IQR: 8-15) of total visit duration, respectively. Preparation and education occurred in the procedure room for 90.6 and 60.2% of patients, respectively. There were no untoward events (0.0, 95% CI: 0.0-2.1%) though four patients presented with procedure-related adverse events that did not require invasive intervention. Physicians rated procedure location as convenient or very convenient. CONCLUSIONS: The Reveal LINQ™ ICM insertion can be safely and efficiently performed in the hospital outside the cath/EP lab or OR. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02412488 ; registered on April 9, 2015.
This study was sponsored by Medtronic, Inc.
Article
Published version
English
Cateterisme cardíac; Accidents - Prevenció; Sales d'operacions; Avaluació de resultats (Assistència sanitària); ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Cardiac Catheterization; Other subheadings::Other subheadings::Other subheadings::/trends; HEALTH CARE::Environment and Public Health::Public Health::Accidents::Accident Prevention::Safety::Patient Safety; HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Operating Rooms; HEALTH CARE::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics::Epidemiologic Studies::Cohort Studies::Prospective Studies; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas cardiovasculares::pruebas de función cardíaca::cateterismo cardíaco; Otros calificadores::Otros calificadores::Otros calificadores::/tendencias; ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::accidentes::prevención de accidentes::seguridad::seguridad del paciente; ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::quirófanos; ATENCIÓN DE SALUD::calidad, acceso y evaluación de la atención sanitaria::calidad de la atención sanitaria::mecanismos de evaluación de la atención sanitaria::características de los estudios epidemiológicos::estudios epidemiológicos::estudios de cohortes::estudios prospectivos
BMC
BMC Cardiovascular Disorders;19(1)
https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-019-1106-3
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
Articles científics - HVH [3440]
