An online survey consisting of 27 multiple-choice questions was completed by 245 respondents from 35 countries. With respect to de novo cardiac implantable electronic device (CIED) implantations, day case procedures were reported for 79.5% of implantable loop recorders, 13.3% of pacemakers (PMs), 10.4% of implantable cardioverter defibrillators (ICDs), and 10.2% of cardiac resynchronization therapy (CRT) devices. With respect to CIED generator replacements, day case procedures were reported for 61.7% of PMs, 49.2% of ICDs, and 48.2% of CRT devices. With regard to ablations, day case procedures were reported for 5.7% of atrial fibrillation (AF) ablations, 10.7% of left-sided ablations, and 17.5% of right-sided ablations. A LOS ≥ 2 days for CIED implantation was reported for 47.7% of PM, 54.5% of ICDs, and 56.9% of CRT devices and for 54.5% of AF ablations, 42.2% of right-sided ablations, and 46.1% of left-sided ablations. Reimbursement (43-56%) and bed availability (20-47%) were reported to have no consistent impact on the organization of elective procedures.
There is a wide variation in the LOS for elective EP procedures. The LOS for some procedures appears disproportionate to their complexity. Neither reimbursement nor bed availability consistently influenced LOS.
结果:来自35个国家的245名受访者完成了一项由27个多项选择题组成的在线调查。关于新心脏可植入电子设备(CIED)的植入,79.5%的植入式环路记录仪报告了每日病例程序,13.3%的PM,植入式心脏复律除颤器(ICD)的10.4%和CRT设备的10.2%。关于TOCIED发电机更换,报告了61.7%的PM的日间病例程序,49.2%的ICD和48.2%的CRT设备。关于消融,据报道,5.7%的房颤(AF)消融的日间病例手术,左侧消融为10.7%,右侧消融为17.5%。据报道,47.7%的PM植入的LOS≥2天,54.5%的ICD和56.9%的CRT设备;54.5%的AF消融,右侧消融的42.2%和左侧消融的46.1%。据报道,报销(43-56%)和床位可用性(20-47%)对选修程序的组织没有一致的影响。
结论:选择性EP程序的LOS差异很大。某些程序的LOS似乎与其复杂性不成比例。报销或床位可用性均未持续影响LOS。