Impact of haematoma after pacemaker and CRT device implantation on hospitalization costs, length of stay, and mortality: a population-based study

• DOI: 10.1093/europace/euv075
• Publication Date: 2015-04-08T21:03:41Z
• Authors: Arun Raghav Mahan...; Vivek Yarlagadda; Madhu Reddy Yeruva; Arun Kanmanthareddy; Ajay Vallakati; Buddhadeb Dawn; Dhanunjaya Lakkir...
• Keywords: Artificial cardiac pacemaker

Pocket haematoma is a common complication following pacemaker implantation. Impact of this on post-procedural outcomes has previously not been systematically studied. We sought to identify the incidence pocket after de novo and cardiac resynchronization therapy (CRT) device implantation evaluate its impact hospital using large all-payer national inpatient database.Data from Nationwide Inpatient Sample 2010 was queried all primary implantations single chamber, dual chamber pacemakers, biventricular devices during year appropriate ICD-9 codes. Patients who experienced procedure-related stay were identified. Of total 78,751 in 2010, 1677 (2.1%) complicated by haematoma. Higher age groups, more complex types (BiV > chamber), comorbidities such as congestive heart failure coagulopathy associated with an increased risk formation post-pacemaker developed had longer length (8.7 vs. 4.8 days, P < 0.001), higher hospitalization costs ($48,815 $34,324, 0.001) in-hospital mortality (2.0 0.7%, compared patients did develop haematoma.Haematoma relatively implantation; however, it adversely impacts outcomes.