Academic Journal
A nurse-led implantable loop recorder service is safe and cost effective
| Τίτλος: | A nurse-led implantable loop recorder service is safe and cost effective |
|---|---|
| Συγγραφείς: | Lim, WY, Papageorgiou, N, Sukumar, SM, Alexiou, S, Srinivasan, NT, Monkhouse, C, Daw, H, Caldeira, H, Harvie, H, Kuriakose, J, Baca, M, Ahsan, SY, Chow, AW, Hunter, RJ, Finlay, M, Lambiase, PD, Schilling, RJ, Earley, MJ, Providencia, R |
| Πηγή: | Journal of Cardiovascular Electrophysiology , 30 (12) pp. 2900-2906. (2019) |
| Στοιχεία εκδότη: | WILEY |
| Έτος έκδοσης: | 2019 |
| Συλλογή: | University College London: UCL Discovery |
| Περιγραφή: | Introduction: Implantable loop recorders (ILR) are predominantly implanted by cardiologists in the catheter laboratory. We developed a nurse‐delivered service for the implantation of LINQ (Medtronic; Minnesota) ILRs in the outpatient setting. This study compared the safety and cost‐effectiveness of the introduction of this nurse‐delivered ILR service with contemporaneous physician‐led procedures. / Methods: Consecutive patients undergoing an ILR at our institution between 1st July 2016 and 4th June 2018 were included. Data were prospectively entered into a computerized database, which was retrospectively analyzed. / Results: A total of 475 patients underwent ILR implantation, 271 (57%) of these were implanted by physicians in the catheter laboratory and 204 (43%) by nurses in the outpatient setting. Six complications occurred in physician‐implants and two in nurse‐implants (P = .3). Procedural time for physician‐implants (13.4 ± 8.0 minutes) and nurse‐implants (14.2 ± 10.1 minutes) were comparable (P = .98). The procedural cost was estimated as £576.02 for physician‐implants against £279.95 with nurse‐implants, equating to a 57.3% cost reduction. In our center, the total cost of ILR implantation in the catheter laboratory by physicians was £10 513.13 p.a. vs £6661.55 p.a. with a nurse‐delivered model. When overheads for running, cleaning, and maintaining were accounted for, we estimated a saving of £68 685.75 was performed by moving to a nurse‐delivered model for ILR implants. Over 133 catheter laboratory and implanting physician hours were saved and utilized for other more complex procedures. / Conclusion: ILR implantation in the outpatient setting by suitably trained nurses is safe and leads to significant financial savings. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Περιγραφή αρχείου: | text |
| Γλώσσα: | English |
| Relation: | https://discovery.ucl.ac.uk/id/eprint/10086778/3/Providencia%20Manuscript%20rev%20RP%20%281%29.pdf; https://discovery.ucl.ac.uk/id/eprint/10086778/ |
| Διαθεσιμότητα: | https://discovery.ucl.ac.uk/id/eprint/10086778/3/Providencia%20Manuscript%20rev%20RP%20%281%29.pdf https://discovery.ucl.ac.uk/id/eprint/10086778/ |
| Rights: | open |
| Αριθμός Καταχώρησης: | edsbas.F13ABC6 |
| Βάση Δεδομένων: | BASE |
| Η περιγραφή δεν είναι διαθέσιμη |