Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study

Abstract This study compared the characteristics and mortality of new implantation of cardiac implantable electronic device (CIED) between tertiary and non-tertiary hospitals. From national health insurance claims data in Korea, 17,655 patients, who underwent first and new implantation of CIED betwe...

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Autores principales:	Seungbong Han, Gyung-Min Park, Yong-Giun Kim, Ki Won Hwang, Chang Hee Kwon, Jae-Hyung Roh, Sangwoo Park, Ki-Bum Won, Soe Hee Ann, Shin-Jae Kim, Sang-Gon Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1f2d5fc20ac9492ea362d47e44aef375
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spelling	oai:doaj.org-article:1f2d5fc20ac9492ea362d47e44aef3752021-12-02T13:18:08ZComparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study10.1038/s41598-021-83160-w2045-2322https://doaj.org/article/1f2d5fc20ac9492ea362d47e44aef3752021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83160-whttps://doaj.org/toc/2045-2322Abstract This study compared the characteristics and mortality of new implantation of cardiac implantable electronic device (CIED) between tertiary and non-tertiary hospitals. From national health insurance claims data in Korea, 17,655 patients, who underwent first and new implantation of CIED between 2013 and 2017, were enrolled. Patients were categorized into the tertiary hospital group (n = 11,560) and non-tertiary hospital group (n = 6095). Clinical outcomes including in-hospital death and all-cause death were compared between the two groups using propensity-score matched analysis. Patients in non-tertiary hospitals were older and had more comorbidities than those in tertiary hospitals. The study population had a mean follow-up of 2.1 ± 1.2 years. In the propensity-score matched permanent pacemaker group (n = 5076 pairs), the incidence of in-hospital death (odds ratio [OR]: 0.76, 95% confidence interval [CI]: 0.43–1.32, p = 0.33) and all-cause death (hazard ratio [HR]: 0.92, 95% CI 0.81–1.05, p = 0.24) were not significantly different between tertiary and non-tertiary hospitals. These findings were consistently observed in the propensity-score matched implantable cardioverter-defibrillator group (n = 992 pairs, OR for in-hospital death: 1.76, 95% CI 0.51–6.02, p = 0.37; HR for all-cause death: 0.95, 95% CI 0.72–1.24, p = 0.70). In patients undergoing first and new implantation of CIED in Korea, mortality was not different between tertiary and non-tertiary hospitals.Seungbong HanGyung-Min ParkYong-Giun KimKi Won HwangChang Hee KwonJae-Hyung RohSangwoo ParkKi-Bum WonSoe Hee AnnShin-Jae KimSang-Gon LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Seungbong Han Gyung-Min Park Yong-Giun Kim Ki Won Hwang Chang Hee Kwon Jae-Hyung Roh Sangwoo Park Ki-Bum Won Soe Hee Ann Shin-Jae Kim Sang-Gon Lee Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
description	Abstract This study compared the characteristics and mortality of new implantation of cardiac implantable electronic device (CIED) between tertiary and non-tertiary hospitals. From national health insurance claims data in Korea, 17,655 patients, who underwent first and new implantation of CIED between 2013 and 2017, were enrolled. Patients were categorized into the tertiary hospital group (n = 11,560) and non-tertiary hospital group (n = 6095). Clinical outcomes including in-hospital death and all-cause death were compared between the two groups using propensity-score matched analysis. Patients in non-tertiary hospitals were older and had more comorbidities than those in tertiary hospitals. The study population had a mean follow-up of 2.1 ± 1.2 years. In the propensity-score matched permanent pacemaker group (n = 5076 pairs), the incidence of in-hospital death (odds ratio [OR]: 0.76, 95% confidence interval [CI]: 0.43–1.32, p = 0.33) and all-cause death (hazard ratio [HR]: 0.92, 95% CI 0.81–1.05, p = 0.24) were not significantly different between tertiary and non-tertiary hospitals. These findings were consistently observed in the propensity-score matched implantable cardioverter-defibrillator group (n = 992 pairs, OR for in-hospital death: 1.76, 95% CI 0.51–6.02, p = 0.37; HR for all-cause death: 0.95, 95% CI 0.72–1.24, p = 0.70). In patients undergoing first and new implantation of CIED in Korea, mortality was not different between tertiary and non-tertiary hospitals.
format	article
author	Seungbong Han Gyung-Min Park Yong-Giun Kim Ki Won Hwang Chang Hee Kwon Jae-Hyung Roh Sangwoo Park Ki-Bum Won Soe Hee Ann Shin-Jae Kim Sang-Gon Lee
author_facet	Seungbong Han Gyung-Min Park Yong-Giun Kim Ki Won Hwang Chang Hee Kwon Jae-Hyung Roh Sangwoo Park Ki-Bum Won Soe Hee Ann Shin-Jae Kim Sang-Gon Lee
author_sort	Seungbong Han
title	Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
title_short	Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
title_full	Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
title_fullStr	Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
title_full_unstemmed	Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study
title_sort	comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a korean nationwide study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/1f2d5fc20ac9492ea362d47e44aef375
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Comparison of new implantation of cardiac implantable electronic device between tertiary and non-tertiary hospitals: a Korean nationwide study

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