Evidence map›Paper›PMID 37599325›Full record

ArticleAging clinical and experimental research2023

Aging and cardiac implantable electronic device complications: is the procedure safe in older patients?

Tuncay Güzel, Adem Aktan, Raif Kılıç, Serhat Günlü, Bayram Arslan, Abdulkadir Arpa, Hamdullah Güzel, İsmail Tatlı, Saadet Aydın, Veysel Suzan and 1 more

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Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Pacemaker infection at generator site bySAGE open medical case reports · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tuncay GüzelDepartment of Cardiology, Health Science University, Gazi Yaşargil Training and Research Hospital, 21070, Diyarbakır, Turkey. drtuncayguzel@gmail.com.ORCID http://orcid.org/0000-0001-8470-1928
Adem AktanDepartment of Cardiology, Mardin Training and Research Hospital, Mardin, Turkey.ORCID http://orcid.org/0000-0003-0505-9784
Raif KılıçDepartment of Cardiology, Çermik State Hospital, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-8338-4948
Serhat GünlüDepartment of Cardiology, Mardin Artuklu University Medical Faculty, Mardin, Turkey.ORCID http://orcid.org/0000-0001-6985-6112
Bayram ArslanDepartment of Cardiology, Ergani State Hospital, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0003-2984-9094
Abdulkadir ArpaDepartment of Cardiology, Bismil State Hospital, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-6077-0416
Hamdullah GüzelDepartment of Cardiology, Düzce University Faculty of Medicine, Düzce, Turkey.ORCID http://orcid.org/0000-0001-7915-6953
İsmail TatlıDepartment of Cardiology, Health Science University, Gazi Yaşargil Training and Research Hospital, 21070, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-9800-2105
Saadet AydınDepartment of Cardiology, Bakırçay University Çiğli Training and Research Hospital, İzmir, Turkey.ORCID http://orcid.org/0000-0003-0817-1026
Veysel SuzanDepartment of Internal Medicine, Division of Geriatric Medicine, Istanbul Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5741-9820
Muhammed DemirDepartment of Cardiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.ORCID http://orcid.org/0000-0002-9049-7123

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we investigated whether there is a higher incidence of cardiac implantable electronic devices (CIED) procedures related complications in older (≥ 75 years) than in younger (< 75 years) patients.

methodsThis retrospective cohort study enrolled patients who had undergone CIED procedures (de novo implantation, system upgrade, generator substitution, pocket revision or lead replacement) at two heart centers in Turkey between January 2011 and May 2023. The primary composite endpoint included clinically significant hematoma (CSH), pericardial effusion or tamponade, pneumothorax, and infection related to the device system. Secondary outcomes included each component of the composite end point.

resultsThe overall sample included 1923 patients (1419 < 75 years and 504 aged ≥ 75 years). There was no difference between the groups in terms of cumulative events defined as primary outcome (3.5% vs. 4.4%, p = 0.393). Infection related to device system was significantly higher in the ≥ 75 age group (1.8% vs. 3.4%, p = 0.034). There was no significant difference between the groups in terms of clinically significant hematoma and pneumothorax (0.7% vs. 0.4%, p = 0.451, 1.4% vs. 1.0%, p = 0.477, respectively). In multivariate model analysis, no association was found between age ≥ 75 years and infection related to the device system.

conclusionInfection rates were relatively higher in the patient group aged ≥ 75 years. This patient group should be evaluated more carefully in terms of infection development before and after the procedure.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialPneumothoraxAgedAgingHematomaHumansRetrospective StudiesRisk FactorsCardiovascular implantable electronic devicesComplicationElderlyPacemaker

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.