Some infections associated with CIEDs are manageable and don't much affect clinical outcomes. Others, at the opposite side of the risk continuum, may raise mortality many times over.
, with Han as lead author. It's based on the 177 PADIT patients who developed CIED infections within 1 year, for a rate of 0.9%.
Typically, patients might come in for a follow-up evaluation 2 to 4 weeks after the procedure, and then not be seen again for perhaps another 12 months, he observed. Instead, he proposed,"we should be trying to so see our patients every 3 months for the first 12 months" to monitor more closely for any infection.
As the report notes, most cases emerged within the first few months after CIED implantation. The cumulative rates were 0.6% at 3 months, 0.7% at 6 months, and 0.9% at 12 months. The adjusted hazard ratio for all-cause mortality associated with any infection was 2.21 . They were also defined by time of onset: early , arising within 3 months of implantation, or delayed , occurring 3 to 12 months after the procedure.
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