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KMID : 0869120210230040298
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기초간호자연과학회지
2021 Volume.23 No. 4 p.298 ~ p.307
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Risk Factors for Cardiac Implantable Electronic Device-Related Infections
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Park Jin-Yeong
Choi Hye-Ran
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Abstract
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Purpose: This study aimed to investigate the risk factors for cardiac implantable electronic device (CIED)-related infections within the first post-procedural year after CIED insertion.
Methods: This study included 509 adult patients undergoing CIED implantation procedures between January 1, 2011 and December 31, 2015. The data were analyzed by t-test, chi-square test, Fisher’s exact test, and logistic regression analysis using SPSS/WIN 23.0.
Results: Fifteen infections and 494 non-infections were examined. The CIED-related infection rate was 2.9%; patients with 14 pocket infections and one bacteremia were included in the CIED-related infection. The risk factors of CIED-related infections were the estimated glomerular filtration rate (eGFR) of ≤45 mL/min/1.73 m2 (Odds ratio [OR]=4.03, 95% confidence interval [CI],1.15-14.10) and taking a new oral anticoagulant (NOAC) (OR=4.50, 95% CI 1.09-18.55).
Conclusion: These results identified the CIED infection rate and risk factors of CIED-related infection. It is necessary to consider these risk factors before the CIED implantation procedure and to establish the relevant nursing interventions.
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KEYWORD
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Artificial Pacemaker, Infections, Risk Factors, Glomerular Filtration Rate
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