Document Detail


The value and limitations of a wound inspection clinic after cardiac device implantation.
MedLine Citation:
PMID:  19299201     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Due to the growing number of cardiac device implantations it is important to develop methods to reduce device-implantation related complications. AIMS: To determine whether a wound inspection clinic can play a role in the detection of device-implantation related complications. METHODS: Single-center observational study evaluating patients who received a pacemaker or implantable cardioverter-defibrillator (ICD). RESULTS: Of 159 patients who received an appointment for the wound inspection clinic, 52 (33%) received a pacemaker and 107 (67%) received an ICD. The majority had no signs of infection. Pain (n = 13,8%) and swelling (n = 11,7%) were the most frequent signs observed, but they never necessitated intervention and recovered spontaneously in all patients. During follow-up (mean 20+/-9 weeks), complications occurred in 10 patients (6%). Most complications occurred early, within 4 days after implantation. The two late complications (at 19 and 41 days) could not be recognized at the wound inspection clinic. CONCLUSION: We found no useful role for a wound inspection clinic two weeks post-implant to detect device-related complications. Open rapid access to the pacemaker/ICD center for patients with signs and symptoms of (threatening) complications seems to be more appropriate to manage post-implant patients.
Authors:
J Han H Deuling; Marcelle D Smit; Alexander H Maass; Ad F M Van den Heuvel; Wybe Nieuwland; Felix Zijlstra; Isabelle C Van Gelder
Publication Detail:
Type:  Journal Article     Date:  2009-03-19
Journal Detail:
Title:  European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology     Volume:  8     ISSN:  1873-1953     ISO Abbreviation:  Eur J Cardiovasc Nurs     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128793     Medline TA:  Eur J Cardiovasc Nurs     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  288-92     Citation Subset:  IM; N    
Affiliation:
Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arrhythmias, Cardiac / surgery,  therapy*
Defibrillators, Implantable*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nurse Practitioners*
Outpatient Clinics, Hospital
Pacemaker, Artificial*
Perioperative Nursing / methods*
Surgical Wound Infection / nursing,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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