Incidence of and risk factors for infectious complications in patients with cardiac device implantation

Hea Won Ann, Jin Young Ahn, Yong Duk Jeon, In Young Jung, Su Jin Jeong, Boyoung Joung, Moon Hyoung Lee, Nam Su Ku, Sang Hoon Han, June Myung Kim, JunYong Choi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The use of cardiac implantable electronic device (CIED; pacemakers, implantable cardioverter-defibrillators [ICD], cardiac re-synchronized therapy [CRT]) implantation, one essential treatment for cardiac arrhythmias, is increasing. Infectious complications related to implants are the main reason for device removal and patient morbidity. We sought to identify the incidence of infectious complications among patients with cardiac device implantation and analyze the risk factors for infectious complications. Methods: A retrospective analysis was conducted of 1307 patients (61.5±14.2 years-old, 49.6% male) with cardiac device implantation from January 1990 to April 2013. We analyzed the incidence of infectious complications during the follow-up period. To investigate risk factors associated with infectious complications, we conducted a 1:2 matched case-control study of patients with infectious complications and controls without infectious complications who had the same implantation period and physician. Results: Among 1307 patients, 12 had a confirmed device-related infection: 7 with a pocket infection and 5 with infective endocarditis. Over a total of 9091.9 device-years, the incidence of infectious complications was 1.3/1000 device-years, based on the 12 patients with an infection. ICD (5.1/1000 device-year) had a higher incidence of infectious complications than other cardiac devices, and no infectious complications were observed among patients with CRT implantation. Mean duration from the time of implantation to infection was 2.02±1.65 years. In a multivariate analysis, the number of prior procedures including wound revision or scar revision was an independent risk factor for infectious complications (OR=10.88, 95% CI 1.11->999, p=0.040). Conclusions: Infection was a rare complication of cardiac device implantation, but repeated procedures were associated with infectious complications.

Original languageEnglish
Pages (from-to)e9-e14
JournalInternational Journal of Infectious Diseases
Volume36
DOIs
Publication statusPublished - 2015 Jul 1

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Equipment and Supplies
Incidence
Infection
Implantable Defibrillators
Device Removal
Endocarditis
Cicatrix
Case-Control Studies
Cardiac Arrhythmias
Therapeutics
Multivariate Analysis
Morbidity
Physicians
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Ann, Hea Won ; Ahn, Jin Young ; Jeon, Yong Duk ; Jung, In Young ; Jeong, Su Jin ; Joung, Boyoung ; Lee, Moon Hyoung ; Ku, Nam Su ; Han, Sang Hoon ; Kim, June Myung ; Choi, JunYong. / Incidence of and risk factors for infectious complications in patients with cardiac device implantation. In: International Journal of Infectious Diseases. 2015 ; Vol. 36. pp. e9-e14.
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abstract = "The use of cardiac implantable electronic device (CIED; pacemakers, implantable cardioverter-defibrillators [ICD], cardiac re-synchronized therapy [CRT]) implantation, one essential treatment for cardiac arrhythmias, is increasing. Infectious complications related to implants are the main reason for device removal and patient morbidity. We sought to identify the incidence of infectious complications among patients with cardiac device implantation and analyze the risk factors for infectious complications. Methods: A retrospective analysis was conducted of 1307 patients (61.5±14.2 years-old, 49.6{\%} male) with cardiac device implantation from January 1990 to April 2013. We analyzed the incidence of infectious complications during the follow-up period. To investigate risk factors associated with infectious complications, we conducted a 1:2 matched case-control study of patients with infectious complications and controls without infectious complications who had the same implantation period and physician. Results: Among 1307 patients, 12 had a confirmed device-related infection: 7 with a pocket infection and 5 with infective endocarditis. Over a total of 9091.9 device-years, the incidence of infectious complications was 1.3/1000 device-years, based on the 12 patients with an infection. ICD (5.1/1000 device-year) had a higher incidence of infectious complications than other cardiac devices, and no infectious complications were observed among patients with CRT implantation. Mean duration from the time of implantation to infection was 2.02±1.65 years. In a multivariate analysis, the number of prior procedures including wound revision or scar revision was an independent risk factor for infectious complications (OR=10.88, 95{\%} CI 1.11->999, p=0.040). Conclusions: Infection was a rare complication of cardiac device implantation, but repeated procedures were associated with infectious complications.",
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Incidence of and risk factors for infectious complications in patients with cardiac device implantation. / Ann, Hea Won; Ahn, Jin Young; Jeon, Yong Duk; Jung, In Young; Jeong, Su Jin; Joung, Boyoung; Lee, Moon Hyoung; Ku, Nam Su; Han, Sang Hoon; Kim, June Myung; Choi, JunYong.

In: International Journal of Infectious Diseases, Vol. 36, 01.07.2015, p. e9-e14.

Research output: Contribution to journalArticle

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AU - Ann, Hea Won

AU - Ahn, Jin Young

AU - Jeon, Yong Duk

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AU - Jeong, Su Jin

AU - Joung, Boyoung

AU - Lee, Moon Hyoung

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AU - Han, Sang Hoon

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AU - Choi, JunYong

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