Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Risk Factors for Cardiac Implantable Electronic Device-Related Infections

이식형 심장 모니터링 장치 관련 감염의 위험요인

  • Park, Jin Yeong (Department of Nursing, Asan Medical Center, Registered Nurse) ;
  • Choi, Hye-Ran (Department of Clinical Nursing, University of Ulsan)
  • 박진영 (서울아산병원 간호부) ;
  • 최혜란 (울산대학교 임상전문간호학)
  • Received : 2021.09.29
  • Accepted : 2021.11.22
  • Published : 2021.11.30
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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.

Keywords

References

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