Acute complications of permanent pacemaker implantation: their financial implication and relation to volume and operator experience

• Published in: The American journal of cardiology Vol. 85; no. 6; pp. 774 - 776
• Main Authors: Tobin, Kenneth, Stewart, James, Westveer, Douglas, Frumin, Howard
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 15.03.2000; Elsevier; Elsevier Limited
• Subjects: Biological and medical sciences; Cardiovascular Surgical Procedures - adverse effects; Cardiovascular Surgical Procedures - statistics & numerical data; Clinical Competence; Diseases of the cardiovascular system; Heart; Hospital Costs - statistics & numerical data; Humans; Medical sciences; Pacemaker, Artificial - adverse effects; Pacemaker, Artificial - economics; Postoperative Complications - economics; Prospective Studies; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Transplants & implants; Human; Professional experience; Costs; Acute; Instrumentation therapy; Exploration; Implantation; Instrumental stimulation; Pacemaker; Surgery; Health economy; Professional practice; Complication; Public health
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/S0002-9149(99)00861-9

Complication rates after pacemaker implantation decline after increasing operator experiences (total cases), activity (cases per year), and facility with cephalic vein cutdown technique. The incremental cost of care is driven by hospital resource utilization and does not parallel medical severity.