Arrhythmias & electrophysiology
Contemporary Management of Cardiac Implantable Electronic Device Infection: The American College of Cardiology COGNITO Survey
Authors' conclusion
There are gaps in familiarity of guidelines as well as the knowledge in practical management of CIED infection with non-extracting physicians. Most institutions lack a definite pathway.
Study context
- Population
- US physicians managing cardiac implantable electronic devices (CIEDs), February–March 202220% response rate
- Participants
- 387 physicians
- Exposure
- Electrophysiologists (EPs) vs non-EP cardiologists vs primary care physicians
- Outcome
- Familiarity with current CIED infection guidelines
Methodological detailsobservational survey, American College of Cardiology, Survey February to March 2022; eligibility by sampling techniques and screener questions
- Observational survey
- American College of Cardiology
- Survey February to March 2022; eligibility by sampling techniques and screener questions
Main finding
As reported in the abstract
- All physicians familiar with current guidelines
- 49%
Observational data: associations, not effects.
Further findings
| Outcome | EPs | Non-EP cardiologists |
|---|---|---|
| Pocket infection cases: guideline-recommended complete CIED system removalApproximately | 89% | 50% |
- Pocket infection cases: guideline-recommended complete CIED system removal — Primary care physicians not recommending guideline-directed treatment
- 70%
Institution has guideline-based protocols for CIED infection
- Physicians reporting guideline-based institutional protocols
- 30%
Original publication
Contemporary Management of Cardiac Implantable Electronic Device Infection: The American College of Cardiology COGNITO Survey. JACC Adv. Published 20 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →