Patient demographics, complications, and hospital utilization in 250 consecutive device implants in a new community hospital electrophysiology program-implications for 'Niche' hospitals

American Heart Hospital Journal

Volumn 8, Issue 1, 2010, Pages 33-39

  Williams, Jeffrey L ^a   Lugg, David ^a   Gray, Robert ^a   Hollis, Douglas ^a   Stoner, Michelle ^a   Stevenson, Robert ^a  

^a Lebanon Cardiology Associates   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATRIAL LEAD DISLODGEMENT; CARDIOVASCULAR RESPONSE; CEREBROVASCULAR ACCIDENT; CLINICAL EFFECTIVENESS; CORONARY SINUS LEAD DISLODGMENT; DEVICE INFECTION; DUAL CHAMBER PACEMAKER; FEMALE; HEALTH CARE ACCESS; HEART EJECTION FRACTION; HOSPITAL READMISSION; HOSPITAL UTILIZATION; HUMAN; IMPLANTABLE CARDIOVERTER DEFIBRILLATOR; MAJOR CLINICAL STUDY; MALE; MEDICAL DEVICE COMPLICATION; PACEMAKER; PRIORITY JOURNAL; THROMBOPHLEBITIS; TREATMENT OUTCOME; TREATMENT RESPONSE; VEIN THROMBOSIS; AGED; COMMUNITY HOSPITAL; DEFIBRILLATOR; DEMOGRAPHY; ELECTROPHYSIOLOGY; HEALTH CARE QUALITY; HEALTH SERVICE; HEART LEFT VENTRICLE FUNCTION; HEART PACING; HEART STROKE VOLUME; HOSPITALIZATION; LENGTH OF STAY; METHODOLOGY; PROGRAM DEVELOPMENT; PROSPECTIVE STUDY; STATISTICS; UTILIZATION REVIEW;

AGED; AGED, 80 AND OVER; CARDIAC PACING, ARTIFICIAL; DEFIBRILLATORS, IMPLANTABLE; DEMOGRAPHY; ELECTROPHYSIOLOGY; FEMALE; HEALTH SERVICES; HOSPITALIZATION; HOSPITALS, COMMUNITY; HUMANS; LENGTH OF STAY; MALE; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; PROSPECTIVE STUDIES; STROKE VOLUME; VENTRICULAR FUNCTION, LEFT;

EID: 79955655640     PISSN: 15419215     EISSN: 17517168     Source Type: Journal    
DOI: 10.15420/ahhj.2010.8.1.33     Document Type: Article

References (28)

1. Heisler M, DeMonner SM, Billi JE, Hayward RA. Medicaid Managed Care: Are Academic Medical Centers Penalized by Attracting Patients with High-Cost Condition?, Am J Manag Care, 2003;9:19-29
2. Bailey JE, Van Brunt DL, Mirvis DM, et al. Academic managed care organizations and adverse selection under Medicaid managed care in Tennessee, JAMA, 1999;282:1067-72
3. Grines CL, Keeley EC. The Case for Emergency Transfer for Primary Percutaneous Coronary Intervention, Circulation, 2005;112:3520-32
4. Muller R, Pfefferkorn T, Vatankhah B, et al. Admission Facility is Associated with Outcome of Basilar Artery Occlusion, Stroke, 2007;38:1380-83
5. Guterman S. Financing Graduate Medical Education: A Federal Perspective, Medical Education Meets the Marketplace: What Mix of Tradition and Innovation Can We Afford?, New York: New York Academy of Sciences, 2000
6. Wilensky GR. Report to the Congress: Rethinking Medicare's Payment Policies for Graduate Medical Education and Teaching Hospitals, Medicare Payment Advisory Commission, 1999
7. Curtis JP, Luebbert JJ, Wang Y, et al. Association of Physician Certification and Outcomes Among Patients Receiving an Implantable Cardioverter-Defibrillator, JAMA, 2009;301:1661-70
8. Alter P, Waldhans S, Plachta E, et al. Complications of Implantable Cardioverter Defibrillator Therapy in 440 Consecutive Patients, Pacing Clin Electrophysiol, 2005;28:926-32
9. Link MS, Estes NAM, Griffin JJ, et al. Complications of Dual Chamber Pacemaker Implantation in the Elderly, J Intervent Cardiac Electrophys, 1998;2:175-9
10. Aggarwal RK, Connelly DT, Ray SG, et al. Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems, Br Heart J, 1995;73:571-5
11. Bardy GH, Lee KL, Mark DB, et al. for the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) Investigators, Amiodarone or an Implantable Cardioverter-Defibrillator for Congestive Heart Failure, N Engl J Med, 2005;352(3):225-37
12. Moss AJ, Jackson Hall W, Cannom DS, et al. Cardiac-Resynchronization Therapy for the Prevention of Heart-Failure Events, N Engl J Med, 2009;361(14):1329-38
13. Bristow MR, Saxon LA, Boehmer J, et al. Cardiac-Resynchronization Therapy with or without an Implantable Defibrillator in Advanced Chronic Heart Failure for the Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION) Investigators, N Engl J Med, 2004;350(21):2140-50
14. Leon AR, Abraham WT, Curtis AB, et al. for the MIRACLE Study Program, Safety of Transvenous Cardiac Resynchronization System Implantation in Patients with Chronic Heart Failure: Combined Results of Over 2000 Patients from a Multicenter Study Program, J Am Coll Cardiol, 2005;46(12):2348-56
15. D'Ivernois C, Lesage J, Blanc P. Where are left ventricular leads really implanted? A study of 90 consecutive patients, Pacing Clin Electrophysiol, 2008;31(5):554-9
16. Werner RM, Goldman LE, Dudley RA. Comparison of change in quality of care between safety-net and non-safety net hospitals, JAMA, 2008;299(18):2180-87
17. Fast Facts on US Hospitals. American Hospital Association website. Available at: www.aha.org/aha/resource-center/Statistics-and-Studies/fast-facts.html (accessed July 15, 2008)
18. US Department of Health & Human Services and Centers for Medicare & Medicaid Services (CMS), Hospital Compare. Available at: www.hospitalcompare.hhs.gov (accessed February 8, 2010)
19. Newhouse JP. Accounting For Teaching Hospitals' Higher Costs And What To Do About Them: There might now be more capacity in teaching hospitals than the market is willing to pay for, Health Aff, 2003;22(6):126-9
20. Mechanic R, Coleman K, Dobson A. Teaching hospital costs: implications for academic missions in a competitive market, JAMA, 1998;280(11):1015-19
21. Zoorob R, Malpani V, Malpani S. Adult inpatient training for a family practice residency: a university-versus community-based setting, Fam Med, 2002;34(7):518-21
22. Lawler FH, Horner RD, Hainer BL. Process and outcome of critical care provided by community and academic primary care physicians, Fam Med, 1989;21(4):268-72
23. Saba S, Ravipati, LP, Voigt A. Recent Trends in Utilization of Implantable Cardioverter-Defibrillators in Survivors of Cardiac Arrest in the United States, Pacing Clin Electrophysiol, 2009;32(11): 1444-9
24. Lee DS, Krahn AD, Healey JS, et al. Evaluation of Early Complications Related to De Novo Cardioverter Defibrillator Implantation, J Am Coll Cardiol, 2010;55(8):774-2
25. Reynolds MR, Cohen DJ, Kugelmass AD, et al. The Frequency and Incremental Cost of Major Complications Among Medicare Beneficiaries Receiving Implantable Cardioverter-Defibrillators, J Am Coll Cardiol, 2006;47(12):2493-7
26. Parsonnet V, Bernstein AD, Lindsay B. Pacemaker-Implantation Complication Rates: An Analysis of Some Contributing Factors, J Am Coll Cardiol, 1989;13(4):917-21
27. Early GL, Roberts SR. Excellence and Low Case Volume: An Example of the Inapplicability of Volume-Based Credentialing, Ann Thorac Surg, 2000;69:146-50
28. Carey JS, Parker JP, Brandeau C, Li Z. The 'occasional open heart surgeon' revisited, J Thorac Cardiovasc Surg, 2008;135(6):1254-60