Evidence map›Paper›PMID 38545326›Full record

ArticleHeart rhythm O22024

Adherent skin barrier drape use is associated with a reduced risk of cardiac implantable device infection: Results from a prospective study of 14,225 procedures.

Mehrdad Golian, Nicolas M Berbenetz, Roupen Odabashian, Mouhannad M Sadek, Vicente Corrales-Medina, Alper Aydin, Darryl R Davis, Martin S Green, Andres Klein, Girish M Nair and 5 more

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Validation of the PADIT (prevention of arrhythmia device infection trial) risk score for infection and infection subtypes.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  4. Review
  5. Cardiac implantable electronic device upgrades and downgrades: a Clinical Consensus Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Asia Pacific Heart Rhythm Association (APHRS), Canadian Heart Rhythm Society (CHRS), Heart Rhythm Society (HRS), and the Latin American Heart Rhythm Society (LAHRS).Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  6. Review
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

15 authors at 1 institution in 1 country.

Mehrdad GolianUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Nicolas M BerbenetzUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Roupen OdabashianUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Mouhannad M SadekUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Vicente Corrales-MedinaDivision of Infectious Diseases, Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada.
Alper AydinUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Darryl R DavisUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Martin S GreenUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Andres KleinUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Girish M NairUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Pablo B NeryUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
F Daniel RamirezUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Calum RedpathUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Simon P HansomUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
David H BirnieUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
University of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac implantable electronic device (CIED) infection is a costly and highly morbid complication. Perioperative interventions, including the use of antibiotic pouches and intensified perioperative antibiotic regimens, have demonstrated marginal efficacy at reducing CIED infection. Additional research is needed to identify additional interventions to reduce infection risk. Objective: We sought to evaluate whether adherent skin barrier drape use is associated with a reduction in CIED infection. Methods: A prospective registry of all CIED implantation procedures was established at our institution in January 2007. The registry was established in collaboration with our hospital infection prevention team with a specific focus on prospectively identifying all potential CIED infections. All potential CIED infections were independently adjudicated by 2 physicians blinded to the use of an adherent skin barrier drape. Results: Over a 13-year period, 14,225 procedures were completed (mean age 72 ± 14 years; female 4,918 (35%); new implants 10,005 (70%); pulse generator changes 2585 (18%); upgrades 1635 (11%). Of those, 2469 procedures (17.4%) were performed using an adherent skin barrier drape. There were 103 adjudicated device infections (0.73%). The infection rate in patients in the barrier use groups was 8 of 2469 (0.32%) as compared with 95 of 11,756 (0.8%) in the nonuse group ( Conclusion: The use of an adherent skin barrier drape at the time of cardiac device surgery is associated with a lower risk of subsequent infection.

Indexed as

AntibioticsCardiac implantable electronic deviceComplicationDevice upgradeImplantable cardioverter-defibrillatorInfectionPacemakerPulse generator change

Identifiers

PMID38545326
PMCPMC10964373
OpenAlexW4389778874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.