Risk Factors for Cardiac Implantable Electronic Device-Related Infections
10.7586/jkbns.2021.23.4.298
- Author:
Jin Yeong PARK
1
;
Hye-Ran CHOI
Author Information
1. Department of Nursing, Asan Medical Center, Registered Nurse, Seoul, Korea
- Publication Type:Original Article
- From:Journal of Korean Biological Nursing Science
2021;23(4):298-307
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to investigate the risk factors for cardiac implantable electronic device (CIED)-related infections within the first post-procedural year after CIED insertion.
Methods:This study included 509 adult patients undergoing CIED implantation procedures between January 1, 2011 and December 31, 2015. The data were analyzed by t-test, chi-square test, Fisher’s exact test, and logistic regression analysis using SPSS/WIN 23.0.
Results:Fifteen infections and 494 non-infections were examined. The CIED-related infection rate was 2.9%; patients with 14 pocket infections and one bacteremia were included in the CIED-related infection. The risk factors of CIED-related infections were the estimated glomerular filtration rate (eGFR) of ≤ 45 mL/min/1.73 m2 (Odds ratio [OR] = 4.03, 95% confidence interval [CI],1.15-14.10) and taking a new oral anticoagulant (NOAC) (OR = 4.50, 95% CI 1.09-18.55).
Conclusion:These results identified the CIED infection rate and risk factors of CIED-related infection. It is necessary to consider these risk factors before the CIED implantation procedure and to establish the relevant nursing interventions.
