Abstract
Background: Pacemaker and ICD implant numbers have been intermittently reported from device company records, however there is a lack of data regarding outcomes after device implantation in Australia. We aimed to report implant and outcome data in Australian private hospitals from a new national clinical quality register. Methods: We prospectively collected data on 1723 patients from December 2015- December 2016 in the Genesis HeartCare Cardiovascular Outcomes Registry (GCOR). Baseline patient/procedural data, in-hospital and 30-day outcomes, and AHA/ACC performance measures and quality metrics were recorded in an electronic database at Monash University. 1-year follow-up data will be collected. Results: The mean age was 67 ± 12 years, 64% were male, 32.9% had a history of heart failure, 47.8% AF and 23.0% myocardial infarction. 63.8% received a pacemaker, 15% a loop recorder and 21.2% an ICD; 85.2% were de novo. Implant success was 95.2% overall. 37.5% were discharged on oral anticoagulants.Tabled 1Outcomes at 30 days (n = 1723)(n)(%)Major complications200.10Cardiac readmission160.90Lead dislodgement120.07Pneumothorax60.03Vascular trauma10.01Stroke00.0Death10.05 Open table in a new tab Conclusion: Device implantation in Australian Private hospitals is associated with high procedural success and low 30-day complication rates. Outcomes are comparable with international standards.
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