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Until now there is no data available concerning the complication rate for implantation of cardiac devices (pacemaker (PM), implantable cardioverter-defibrillator (ICD)) in association with the day of the week, the implantation takes place.
In this retrospective study we aimed to analyse the correlation of perioperative and early postoperative complications after PM and ICD Implantation from day of surgery.
We analyzed data from a total of seven hundred and thirty-two consecutive patients between January 2011 and December 2014, who underwent either a new ICD or a new SM Implantation in our hospital (mean age: 73 ±12). 22,5% (n:165) were ICDs and 77,5% (n:567) PMs. Cardiac resynchronization therapy (CRT) was excluded. We analyzed the day by day occurrence of complication, and we divided the patients in two groups (group 1 implantation took place between Monday to Thursday, group 2 implantation took place on Friday).
One hundred and seventy-five patients (23,9%) were operated on a Friday and five hundred and fifty-seven patients (76,1%) on other weekdays. The total complication rate was 4,5% (n: 33) (for ICDs 3%, for PMs 4,9%). The complication rate on a Friday was 4% and on the other days was 4,7%. We found no statistical relevance of the complication rate and the day the operation carried out (p> 0,05). Day to day variation of complication rate was not significantly different.
Cardiac device (PM, ICD) implantations will be carried out just as safely and effectively on Fridays without resulting in an increased complication rate compared with the other days.