Interventions in the Diagnosis and Adoption of Pacemaker
Written By : Dr. Nandita Mohan
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2022-09-24 03:30 GMT | Update On 2022-09-24 03:30 GMT
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So the study that I am talking about is a sequential, prospective, quality improvement initiative conducted in India and Bangladesh where patients with symptomatic bradycardia were enrolled. In Phase I, physicians assessed and treated patients per standard care.
Phase II was conducted after implementing educational materials for physicians and patients. Primary objectives were to evaluate the impact of the intervention on sinus node dysfunction diagnosis and pacemaker implant.
A total of 978 patients were enrolled that is , 508 in Phase I and 470 in Phase II. The results of the study highlighted that the diagnosis of sinus node dysfunction and implantation of pacemaker increased significantly from Phase I to Phase II. Pacemaker implantation was not feasible in 41% of patients due to insurance/cost barriers. Both patient Quality of Life and caregiver burden improved at 6-months post-pacemaker implant.
Hence, it was concluded that a process improvement initiative conducted at centers across India and Bangladesh significantly increased the diagnosis of Sinus Node Dysfunction and subsequent treatment with Pacemaker therapy despite the socio-economic constraints
Reference: ishi Sethi, Fazila Tun Nesa Malik, Ajay Naik, et al; Interventions in the Diagnosis and Adoption of Pacemaker Therapy in Sinus Node Dysfunction Patients: Results from the IMPROVE Brady study, Indian Heart Journal, 2022; DOI: https://doi.org/10.1016/j.ihj.2022.09.004.
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