Cargando…

The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation

Cardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship...

Descripción completa

Detalles Bibliográficos
Autores principales: Takeda, Tomonori, Tsubaki, Atsuhiro, Ikeda, Yoshifumi, Kato, Ritsushi, Hotta, Kazuki, Inoue, Tatsuro, Kojima, Sho, Kanai, Risa, Terazaki, Yoshitaka, Uchida, Ryusei, Makita, Shigeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632810/
https://www.ncbi.nlm.nih.gov/pubmed/36327285
http://dx.doi.org/10.1371/journal.pone.0277115
_version_ 1784824117491400704
author Takeda, Tomonori
Tsubaki, Atsuhiro
Ikeda, Yoshifumi
Kato, Ritsushi
Hotta, Kazuki
Inoue, Tatsuro
Kojima, Sho
Kanai, Risa
Terazaki, Yoshitaka
Uchida, Ryusei
Makita, Shigeru
author_facet Takeda, Tomonori
Tsubaki, Atsuhiro
Ikeda, Yoshifumi
Kato, Ritsushi
Hotta, Kazuki
Inoue, Tatsuro
Kojima, Sho
Kanai, Risa
Terazaki, Yoshitaka
Uchida, Ryusei
Makita, Shigeru
author_sort Takeda, Tomonori
collection PubMed
description Cardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship between frailty and readmission rates among patients with CIED. This study investigated whether preoperative frailty influenced readmission rates among patients with CIED over a one-year period following implantation. The study retrospectively analyzed 101 patients who underwent CIED implantations. To compare frailty-based differences in their characteristics and readmission rates, these participants were categorized into frailty and non-frailty groups via the modified frailty index (mFI). The frailty group had a significantly higher readmission rate than the non-frailty group (non-frailty group vs. frailty group = 1 vs. 8 patients: P < 0.05). Further, a multivariate analysis showed that frailty was a significant readmission factor. Based on individual analyses with/without histories of HF, the readmission rate also tended to be higher among individuals considered frail via the mFI (readmission rate in HF patients: non-frailty group vs. frailty group = 1 vs. 5 patients: P = 0.65; non-HF patients: non-frailty group vs. frailty group = 0 vs. 3 patients: P = 0.01). Participants with preoperative frailty showed higher readmission rates within a one-year period following implantation compared to those without preoperative frailty. This tendency was consistent regardless of HF history. The mFI may thus help predict readmission among patients with CIED.
format Online
Article
Text
id pubmed-9632810
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-96328102022-11-04 The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation Takeda, Tomonori Tsubaki, Atsuhiro Ikeda, Yoshifumi Kato, Ritsushi Hotta, Kazuki Inoue, Tatsuro Kojima, Sho Kanai, Risa Terazaki, Yoshitaka Uchida, Ryusei Makita, Shigeru PLoS One Research Article Cardiac implantable electrical devices (CIED) such as pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapies are generally recommended for older patients and those with severe heart failure (HF). However, there is currently a lack of evidence on the relationship between frailty and readmission rates among patients with CIED. This study investigated whether preoperative frailty influenced readmission rates among patients with CIED over a one-year period following implantation. The study retrospectively analyzed 101 patients who underwent CIED implantations. To compare frailty-based differences in their characteristics and readmission rates, these participants were categorized into frailty and non-frailty groups via the modified frailty index (mFI). The frailty group had a significantly higher readmission rate than the non-frailty group (non-frailty group vs. frailty group = 1 vs. 8 patients: P < 0.05). Further, a multivariate analysis showed that frailty was a significant readmission factor. Based on individual analyses with/without histories of HF, the readmission rate also tended to be higher among individuals considered frail via the mFI (readmission rate in HF patients: non-frailty group vs. frailty group = 1 vs. 5 patients: P = 0.65; non-HF patients: non-frailty group vs. frailty group = 0 vs. 3 patients: P = 0.01). Participants with preoperative frailty showed higher readmission rates within a one-year period following implantation compared to those without preoperative frailty. This tendency was consistent regardless of HF history. The mFI may thus help predict readmission among patients with CIED. Public Library of Science 2022-11-03 /pmc/articles/PMC9632810/ /pubmed/36327285 http://dx.doi.org/10.1371/journal.pone.0277115 Text en © 2022 Takeda et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Takeda, Tomonori
Tsubaki, Atsuhiro
Ikeda, Yoshifumi
Kato, Ritsushi
Hotta, Kazuki
Inoue, Tatsuro
Kojima, Sho
Kanai, Risa
Terazaki, Yoshitaka
Uchida, Ryusei
Makita, Shigeru
The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title_full The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title_fullStr The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title_full_unstemmed The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title_short The impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
title_sort impacts of preoperative frailty on readmission after cardiac implantable electrical device implantation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632810/
https://www.ncbi.nlm.nih.gov/pubmed/36327285
http://dx.doi.org/10.1371/journal.pone.0277115
work_keys_str_mv AT takedatomonori theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT tsubakiatsuhiro theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT ikedayoshifumi theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT katoritsushi theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT hottakazuki theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT inouetatsuro theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT kojimasho theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT kanairisa theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT terazakiyoshitaka theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT uchidaryusei theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT makitashigeru theimpactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT takedatomonori impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT tsubakiatsuhiro impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT ikedayoshifumi impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT katoritsushi impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT hottakazuki impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT inouetatsuro impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT kojimasho impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT kanairisa impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT terazakiyoshitaka impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT uchidaryusei impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation
AT makitashigeru impactsofpreoperativefrailtyonreadmissionaftercardiacimplantableelectricaldeviceimplantation