Impact of hospital lead extraction volume on management of cardiac implantable electronic device-associated infective endocarditis
Main finding · TLE performed during admissionResult — go to the resultAdjusted odds ratio 4.26 95% CI 3.53–5.15Authors' conclusion
Admissions to high-volume TLE centres were associated with higher utilization of TLE for management of CIED-associated IE.
Study context
- Population
- Admissions for patients with cardiac implantable electronic device (CIEDs) hospitalised with infective endocarditis (IE) at transvenous lead extraction/removal (TLE) centres, 2016–2019
- Participants
- 21,545 admissions
- Exposure
- High- and medium-volume vs low-volume TLE centres
- Outcome
- TLE utilization
Methodological detailsNationwide Readmissions Database
- Nationwide Readmissions Database
Main finding
TLE performed during admission
Adjusted odds ratio
4.26
95% CI 3.53–5.15
By group
Low-volume
6.9
%
Medium-volume
19.3
%
High-volume
26%
High-volume vs Low-volume
adjusted OR 4.26 (95% CI 3.53–5.15)
As reported in the abstract
Observational data: associations, not effects.
Further findings
Inpatient mortality
- Similar across low-, medium- and high-volume centres
Safety
TLE-associated complications
- TLE-associated complications: P = 0.493
Original publication
Impact of hospital lead extraction volume on management of cardiac implantable electronic device-associated infective endocarditis. Europace. Published 27 December 2024. doi:10.
Summarised from the published abstract; every number is checked against it