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A nurse‐led implantable loop recorder service is safe and cost effective.
In: Journal of Cardiovascular Electrophysiology, Jg. 30 (2019-12-01), Heft 12, S. 2900-2906
Online
academicJournal
Zugriff:
Introduction: Implantable loop recorders (ILR) are predominantly implanted by cardiologists in the catheter laboratory. We developed a nurse‐delivered service for the implantation of LINQ (Medtronic; Minnesota) ILRs in the outpatient setting. This study compared the safety and cost‐effectiveness of the introduction of this nurse‐delivered ILR service with contemporaneous physician‐led procedures. Methods: Consecutive patients undergoing an ILR at our institution between 1st July 2016 and 4th June 2018 were included. Data were prospectively entered into a computerized database, which was retrospectively analyzed. Results: A total of 475 patients underwent ILR implantation, 271 (57%) of these were implanted by physicians in the catheter laboratory and 204 (43%) by nurses in the outpatient setting. Six complications occurred in physician‐implants and two in nurse‐implants (P = .3). Procedural time for physician‐implants (13.4 ± 8.0 minutes) and nurse‐implants (14.2 ± 10.1 minutes) were comparable (P = .98). The procedural cost was estimated as £576.02 for physician‐implants against £279.95 with nurse‐implants, equating to a 57.3% cost reduction. In our center, the total cost of ILR implantation in the catheter laboratory by physicians was £10 513.13 p.a. vs £6661.55 p.a. with a nurse‐delivered model. When overheads for running, cleaning, and maintaining were accounted for, we estimated a saving of £68 685.75 was performed by moving to a nurse‐delivered model for ILR implants. Over 133 catheter laboratory and implanting physician hours were saved and utilized for other more complex procedures. Conclusion: ILR implantation in the outpatient setting by suitably trained nurses is safe and leads to significant financial savings. [ABSTRACT FROM AUTHOR]
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A nurse‐led implantable loop recorder service is safe and cost effective.
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Autor/in / Beteiligte Person: | Lim, Wei Yao ; Papageorgiou, Nikolaos ; Sukumar, Shivasankar M. ; Alexiou, Sophia ; Srinivasan, Neil T. ; Monkhouse, Christopher ; Daw, Holly ; Caldeira, Helder ; Harvie, Helen ; Kuriakose, Jincymol ; Baca, Marco ; Ahsan, Syed Y. ; Chow, Anthony W. ; Hunter, Ross J. ; Finlay, Malcolm ; Lambiase, Pier D. ; Schilling, Richard J. ; Earley, Mark J. ; Providencia, Rui |
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Zeitschrift: | Journal of Cardiovascular Electrophysiology, Jg. 30 (2019-12-01), Heft 12, S. 2900-2906 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 1045-3873 (print) |
DOI: | 10.1111/jce.14206 |
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