Analyzing the impact of preoperative interrogation of cardiac implantable electronic devices

Navas-Blanco, Jose R; Williams, Derrick; Modak, Raj K.

doi:10.4103/aca.aca_32_20

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Few studies have investigated the economic impact of anesthesiology-led CIED service [ 9 , 21 ]. Ellis et al [ 9 ] demonstrated a reduction in first case delay of 16.7 min post-intervention from pre-intervention in the CIED cohorts.…”

Section: Discussionmentioning

confidence: 99%

“…Attention to these near misses avoided potential adverse outcomes, which is an intangible yet important value added by this service. The study by Navas et al [ 21 ], while demonstrating a significant difference in operating room delays due to CIED- related issues compared with non CIED-related issues, did not inform on the structure or actual economic impact of a formal CIED service in their institution.…”

Section: Discussionmentioning

confidence: 99%

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Economic Evaluation of Anesthesiology-Led Cardiac Implantable Electronic Device Service

et al. 2023

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Background: Implementation of an anesthesiology-led cardiac implantable electronic device (CIED) service can be viewed to have economic and efficiency challenges. This study evaluates the cost savings of an anesthesiology-led CIED service. Methods: A total of 830 patients presented in the pre-implementation period from 1 March 2016 to 31 December 2017, and 1981 patients presented in the post-implementation period from 1 January 2018 to 31 October 2021. Interrupted time-series analysis for single-group comparisons was used to evaluate the cost savings resulting from reduction in operating room (OR) start delays for patients with CIEDs. Results: OR start-time delay was reduced by 10.6 min (95%CI: −20.5 to −0.83), comparing pre- to post-implementation. For an OR cost of USD 45/min, we estimated the direct cost to the department to be USD 1.68/min. The intervention translated into a total cost reduction during the intervention period of USD 250,000 (USD 18,000 to USD 470,000) per year for the institution and USD 9800 (USD 730 to USD 17,000) per year for the department. The yearly cost of employing a full-time team of CIED specialists would have been USD 135,456. The service triggered electrophysiology consultation on 13 device malfunctions. Conclusions: An anesthesiology-led CIED service resulted in substantial cost savings, increased OR efficiency and patient safety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%