Evaluation of comprehensive geriatric assessment in older patients undergoing pacemaker implantation

Schoenenberger, Andreas W.; Russi, Ian; Berte, Benjamin; Weberndörfer, Vanessa; Schoenenberger-Berzins, Renate; Chodup, Piotr; Beeler, Remo; Cuculi, Florim; Toggweiler, Stefan; Kobza, Richard

doi:10.1186/s12877-020-01685-7

Cited by 4 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were rare studies about tools for evaluating life expectancy before PPM implantation. One study found that comprehensive geriatric assessment was useful in finding functional deficits that were associated with an increased risk of mortality after PPM implantation among patients aged ≥75 [ 15 ]. Balla et al studied prognosis after pacemaker implantation in patients aged 80 and older and created a mortality risk prediction score consisting of various comorbidities and the use of a single-chamber device to identify high-risk old age patients at three months post-implantation [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Novel Risk Score for All-Cause Mortality Risk Stratification Prior to Permanent Pacemaker Implantation in Octogenarians or Older

Lin,

Hung,

Wang

et al. 2023

Medicina

View full text Add to dashboard Cite

Background and Objectives: The demand for permanent pacemaker (PPM) implantation for extremely old patients is increasing. Prior to implanting PPMs, life expectancy evaluation is essential but difficult. We aimed to develop and validate a scoring system for all-cause mortality risk stratification prior to PPM implantation in patients aged ≥80. Materials and Methods: A total of 210 patients aged ≥80 who received PPM implantation were included. Multivariable analysis was performed to assess the effects of different variables on all-cause mortality in a derivation cohort (n = 100). We developed the MELODY score for stratifying all-cause mortality prior to PPM implantation and tested the scoring system in a validation cohort (n = 102). Results: After 4.0 ± 2.7 years of follow-up, 54 patients (54%) had died. The 0.5-, 1- and 2-year all-cause mortality rates were 7%, 10% and 24%, respectively. The MELODY score based on body mass index <21 kg/m2 (HR: 2.21, 95% CI: 1.06–4.61), estimated glomerular filtration rate <30 mL/min/1.73 m2 (3.35, 1.77–6.35), length of hospitalization before PPM implantation >7 days (1.87, 1.02–3.43) and dyspnea as the major presenting symptom (1.90, 1.03–3.50) successfully distinguished patients at high risk of mortality. Patients with MELODY scores ≥3 had a higher risk of mortality compared to those with MELODY scores <3 (8.49, 4.24–17.00). The areas under the receiver operating characteristic curves in predicting 0.5, 1 and 2 years mortality rates were 0.86, 0.81 and 0.74, respectively. The predictive value of the model was confirmed in a validation cohort. Conclusions: The novel scoring system is a simple and effective tool for all-cause mortality risk stratification prior to PPM implantation in patients aged ≥80.

show abstract

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Novel Risk Score for All-Cause Mortality Risk Stratification Prior to Permanent Pacemaker Implantation in Octogenarians or Older

Lin,

Hung,

Wang

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…With the wide application of Internet technology, remote home management, as the improvement and supplement to the continuous nursing service, provides the patients with nursing services through the transmission, management, and coordination of information technology (WeChat) in practice, and with professional and personalized guidance by the aid of the effective, timely, and updated information transmission and the two-way communication and exchange. The remote home management can effectively break the limitations of space and offer the patients better nursing after discharge [ 20 ], with the effect that has been proven in elderly patients who received cardiac pacemaker implantation [ 21 ]. Feng's spinal manipulation, taking “joint semidislocation and sinews off-position” as its theoretical basis, adopts the spinal fixed-point rotation reduction to quickly correct the vertebral displacement, relieve the synovium incarceration, restore the mechanical balance of the lumbar vertebrae, and improve blood circulation of regional tissue.…”

Section: Discussionmentioning

confidence: 99%

Curative Effects of Remote Home Management Combined with Feng’s Spinal Manipulation on the Treatment of Elderly Patients with Lumbar Disc Herniation

Min

Xu²

2022

Journal of Healthcare Engineering

View full text Add to dashboard Cite

Objective. To explore the curative effects of remote home management combined with Feng’s spinal manipulation on the treatment of elderly patients with lumbar disc herniation (LDH). Methods. The clinical data of 100 patients with LDH in our hospital (December 2019–December 2020) were retrospectively reviewed. The 100 patients were equally divided into a routine treatment group and interventional group according to the order of admission. The routine treatment group received conventional rehabilitation training, and the interventional group received remote home management combined with Feng’s spinal manipulation. The Oswestry disability index (ODI) and straight leg raising test were adopted for the assessment of the degrees of dysfunction and straight leg raising angles of the two groups after intervention. The curative effects of the two rehabilitation programs were evaluated. Results. Compared with the routine treatment group, the interventional group had a remarkably higher excellent and good rate P < 0.05 , a significantly lower average ODI score after intervention P < 0.001 , notably higher straight leg raising angle, surface AEMG (average electromyogram) during stretching and tenderness threshold after intervention P < 0.001 , markedly lower muscular tension, surface AEMG during buckling, and flexion-extension relaxation ratio (FRR; P < 0.001 ), and much higher quality of life scores after intervention P < 0.001 . Conclusion. The remote home management combined with Feng’s spinal manipulation, as a reliable method to improve the quality of life and the back muscular strength of the elderly patients with LDH, can substantially increase the straight leg raising angle and reduce the degree of dysfunction. Further study is conducive to establishing a better solution for the patients with LDH.

show abstract

“…In connection with the aspects under consideration, various studies are regularly conducted in this area, and cardiac surgeons use different schemes of implantation and stimulation of the heart to fi nd optimal criteria. Despite this, the treatment of tachy-brady syndrome in the form of implantation of a permanent pacemaker has become common, and according to statistical research in the fi eld of healthcare, these surgeries occupy about a third of all heart surgeries performed (14).…”

Section: U N C O R R E C T E Dmentioning

confidence: 99%

Persistent left superior vena cava in a patient with an implanted dual-chamber pacing system in atrial fibrillation with tachycardia-bradycardia syndrome

Bizhanov¹,

Baimbetov²,

Sarsenbayeva³

et al. 2023

BLL

View full text Add to dashboard Cite

The relevance of the study is conditioned by the problem of implantation of an artifi cial cardiac pacemaker in atrial fi brillation in patients with tachy-brady syndrome according to the standard scheme related to the presence of a congenital anomaly, such as persistent left superior vena cava. The purpose of the study is to develop an operative method of implantation of a permanent two-chamber pacemaker in patients with tachybrady syndrome with concomitant pathology of the persistent left superior vena cava. Research methods are the generally accepted clinical and instrumental examination of the patient, including taking anamnesis and a standard cardiological examination, electrocardiography, transthoracic echocardiography, plain radiography, angiocardiographic examination, and multispiral computed tomography, which, along with a general analysis, confi rm the presence of tachy-brady syndrome with atrial fi brillation and congenital anomaly in the form of persistent left superior vena cava in patients. The study presents a developed model of surgical implantation of a permanent two-chamber pacemaker to stabilise the condition of patients with atrial fi brillation related to tachy-brady syndrome with concomitant persistent left superior vena cava; the standard implantation mechanism included the introduction of a radiopaque agent to clarify the anatomical structure of the vascular bed, further, its entry from the subclavian veins into the persistent left superior vena cava and into the cavity of the right atrium through the venous coronary sinus was detected, and then a gradual introduction of an endocardial right ventricular electrode was performed into the subclavian vein through the tricuspid valve along with its further positioning in the apex of the right ventricle; therefore, a permanent two-chamber pacemaker can be successfully installed, creating conditions for restoring sinus rhythm in this group of patients, which is of practical importance for the fi eld of medicine (Tab. 3, Fig. 4, Ref. 20).

show abstract

Evaluation of comprehensive geriatric assessment in older patients undergoing pacemaker implantation

Cited by 4 publications

References 28 publications

Development and Validation of a Novel Risk Score for All-Cause Mortality Risk Stratification Prior to Permanent Pacemaker Implantation in Octogenarians or Older

Development and Validation of a Novel Risk Score for All-Cause Mortality Risk Stratification Prior to Permanent Pacemaker Implantation in Octogenarians or Older

Curative Effects of Remote Home Management Combined with Feng’s Spinal Manipulation on the Treatment of Elderly Patients with Lumbar Disc Herniation

Persistent left superior vena cava in a patient with an implanted dual-chamber pacing system in atrial fibrillation with tachycardia-bradycardia syndrome

Contact Info

Product

Resources

About