Subpectoral Technique of Pacemaker Implantation\\-Reduction of Cost and Length of Hospital Stay- / Journal of Rural Medicine
Journal of Rural Medicine
;
: 15-18, 2007.
Article
in Japanese
| WPRIM
| ID: wpr-361321
ABSTRACT
Objective:
To reduce the length of hospital stay for patients undergoing pacemaker surgery. Patient andMethods:
We prevented the leads from dislodging by anchoring a screw-in type pacing lead in the right atrium/ventricle through a cephalic vein that was cut down. We retrospectively compared the cost and duration of the hospital stay for the subpectoral technique (35 cases; January 2005-March 2006) and conventional technique (subcutaneous pocket and subclavian vein puncture) (18 cases; October 2003-December 2004) groups.Results:
The mean (± SD) duration of hospital stay was 5.1 ± 2.1 days for the subpectoral technique group and 22.2 ± 15.2 days for the conventional technique group (P < 0.001), and the cost was 2,167,883 ± 147,549 yen in the subpectoral technique group and 2,528,053 ± 217,810 yen in the conventional technique group (P < 0.001). We noted no major complications such as bleeding, lead dislodgement, or wound infection.Conclusion:
Our novel subpectoral technique helped reduce the length and cost of the hospital stay associated with pacemaker surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pacemaker, Artificial
/
Congresses as Topic
/
Hospitals
Type of study:
Health economic evaluation
Language:
Japanese
Journal:
Journal of Rural Medicine
Year:
2007
Type:
Article
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