Factors associated with uptake of guideline-recommended cardiovascular implantable electronic device management: a nationwide, retrospective cohort study

Sara Young; Hillary J. Mull; Samuel Golenbock; Kelly Stolzmann; Marlena Shin; Rebecca P. Lamkin; Katherine D. Linsenmeyer; Isabella Epshtein; Emily Kalver; Judith M. Strymish; Westyn Branch-Elliman

doi:10.1017/ash.2023.422

Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2023)

Factors associated with uptake of guideline-recommended cardiovascular implantable electronic device management: a nationwide, retrospective cohort study

Sara Young,
Hillary J. Mull,
Samuel Golenbock,
Kelly Stolzmann,
Marlena Shin,
Rebecca P. Lamkin,
Katherine D. Linsenmeyer,
Isabella Epshtein,
Emily Kalver,
Judith M. Strymish,
Westyn Branch-Elliman

Affiliations

Sara Young: ORCiD; Boston University, Chobanian & Avedisian School of Medicine, Boston, MA, USA
Hillary J. Mull: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Surgery, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
Samuel Golenbock: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Kelly Stolzmann: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Marlena Shin: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Rebecca P. Lamkin: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Katherine D. Linsenmeyer: Boston University, Chobanian & Avedisian School of Medicine, Boston, MA, USA Department of Medicine, VA Boston Healthcare System, Boston, MA, USA
Isabella Epshtein: Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA
Emily Kalver: Montclair State University, Montclair, NJ, USA
Judith M. Strymish: Department of Medicine, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA
Westyn Branch-Elliman: ORCiD; Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA Department of Medicine, VA Boston Healthcare System, Boston, MA, USA Harvard Medical School, Boston, MA, USA

DOI: https://doi.org/10.1017/ash.2023.422
Journal volume & issue: Vol. 3

Abstract

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Clinical guidelines recommend device removal for cardiovascular implantable electronic device (CIED) infection management. In this retrospective, nationwide cohort, 60.8% of CIED infections received guideline-concordant care. One-year mortality was higher among those without procedural management (25% vs 16%). Factors associated with receipt of device procedures included pocket infections and positive microbiology.

Published in Antimicrobial Stewardship & Healthcare Epidemiology

ISSN: 2732-494X (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

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