J Korean Biol Nurs Sci.  2021 Nov;23(4):298-307. 10.7586/jkbns.2021.23.4.298.

Risk Factors for Cardiac Implantable Electronic Device-Related Infections

Affiliations
  • 1Department of Nursing, Asan Medical Center, Registered Nurse, Seoul, Korea
  • 2Department of Clinical Nursing, University of Ulsan, Ulsan, Korea

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.

Keyword

Artificial Pacemaker; Infections; Risk Factors; Glomerular Filtration Rate
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