Analysis of charges and complications of permanent pacemaker implantation in the cardiac catheterization laboratory versus the operating room

Kenneth H. Yamamura, E. Martin Kloosterman, Julia Alba, Freddy Garcia, Patricia Love Williams, Raul Mitrani, Alberto Interian

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

During the last two decades, an increasing number of permanent pacemakers have been implanted outside of the operating room (OR) by nonsurgeons. Previous investigators have demonstrated that pacemakers can be safely implanted in the cardiac catheterization laboratory with no increase in complications or infections. This is the first study of its kind to simultaneously evaluate cost, length of hospitalization, and complications between pacemakers implanted in the OR by surgeons with those implanted in the catheterization laboratory by an electrophysiologist. A total of 254 consecutive pacemaker implants were analyzed over a 2-year period. The OR group consisted of 122 patients with a mean age of 64 ± 21 years versus 132 patients in the catheterization laboratory group with a mean age of 65 ± 17 years. The indication and type of pacemaker implanted were similar among both groups with 78% of OR patients and 73% of catheterization laboratory patients receiving dual chamber devices. The average cost for pacemaker implantation in our study was significantly higher in the OR group $5,464 ± $1,670 versus $2,682 ± $8 for the catheterization laboratory group (P < 0.001). There was a reduction in preimplant days in the catheterization laboratory group 3.16 ± 12.40 days versus 5.65 ± 9.54 days in the OR group (P < 0.05). Complications were minimal and there were no significant differences between the two groups. This study confirms that pacemakers can be safely implanted in the catheterization laboratory by nonsurgeons with no increase in complications and a significant reduction in hospital costs.

Original languageEnglish
Pages (from-to)1820-1824
Number of pages5
JournalPACE - Pacing and Clinical Electrophysiology
Volume22
Issue number12
StatePublished - Dec 1 1999

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Operating Rooms
Cardiac Catheterization
Catheterization
Costs and Cost Analysis
Hospital Costs
Hospitalization
Research Personnel
Equipment and Supplies
Infection

Keywords

  • Cardiac catheterization laboratory
  • Complications
  • Cost
  • Permanent pacemaker

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Analysis of charges and complications of permanent pacemaker implantation in the cardiac catheterization laboratory versus the operating room. / Yamamura, Kenneth H.; Kloosterman, E. Martin; Alba, Julia; Garcia, Freddy; Williams, Patricia Love; Mitrani, Raul; Interian, Alberto.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 22, No. 12, 01.12.1999, p. 1820-1824.

Research output: Contribution to journalArticle

Yamamura, Kenneth H. ; Kloosterman, E. Martin ; Alba, Julia ; Garcia, Freddy ; Williams, Patricia Love ; Mitrani, Raul ; Interian, Alberto. / Analysis of charges and complications of permanent pacemaker implantation in the cardiac catheterization laboratory versus the operating room. In: PACE - Pacing and Clinical Electrophysiology. 1999 ; Vol. 22, No. 12. pp. 1820-1824.
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