| The value and limitations of a wound inspection clinic after cardiac device implantation. | |
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MedLine Citation:
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PMID: 19299201 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2009-03-19 |
Journal Detail:
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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:
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Created Date: 2009-10-05 Completed Date: 2010-01-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101128793 Medline TA: Eur J Cardiovasc Nurs Country: Netherlands |
Other Details:
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Languages: eng Pagination: 288-92 Citation Subset: IM; N |
Affiliation:
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Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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