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A nurse-led implantable loop recorder service is safe and cost effective

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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/
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  – Url: https://discovery.ucl.ac.uk/id/eprint/10086778/3/Providencia Manuscript rev RP (1).pdf#
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  Data: A nurse-led implantable loop recorder service is safe and cost effective
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  Data: <searchLink fieldCode="AR" term="%22Lim%2C+WY%22">Lim, WY</searchLink><br /><searchLink fieldCode="AR" term="%22Papageorgiou%2C+N%22">Papageorgiou, N</searchLink><br /><searchLink fieldCode="AR" term="%22Sukumar%2C+SM%22">Sukumar, SM</searchLink><br /><searchLink fieldCode="AR" term="%22Alexiou%2C+S%22">Alexiou, S</searchLink><br /><searchLink fieldCode="AR" term="%22Srinivasan%2C+NT%22">Srinivasan, NT</searchLink><br /><searchLink fieldCode="AR" term="%22Monkhouse%2C+C%22">Monkhouse, C</searchLink><br /><searchLink fieldCode="AR" term="%22Daw%2C+H%22">Daw, H</searchLink><br /><searchLink fieldCode="AR" term="%22Caldeira%2C+H%22">Caldeira, H</searchLink><br /><searchLink fieldCode="AR" term="%22Harvie%2C+H%22">Harvie, H</searchLink><br /><searchLink fieldCode="AR" term="%22Kuriakose%2C+J%22">Kuriakose, J</searchLink><br /><searchLink fieldCode="AR" term="%22Baca%2C+M%22">Baca, M</searchLink><br /><searchLink fieldCode="AR" term="%22Ahsan%2C+SY%22">Ahsan, SY</searchLink><br /><searchLink fieldCode="AR" term="%22Chow%2C+AW%22">Chow, AW</searchLink><br /><searchLink fieldCode="AR" term="%22Hunter%2C+RJ%22">Hunter, RJ</searchLink><br /><searchLink fieldCode="AR" term="%22Finlay%2C+M%22">Finlay, M</searchLink><br /><searchLink fieldCode="AR" term="%22Lambiase%2C+PD%22">Lambiase, PD</searchLink><br /><searchLink fieldCode="AR" term="%22Schilling%2C+RJ%22">Schilling, RJ</searchLink><br /><searchLink fieldCode="AR" term="%22Earley%2C+MJ%22">Earley, MJ</searchLink><br /><searchLink fieldCode="AR" term="%22Providencia%2C+R%22">Providencia, R</searchLink>
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  Data: Journal of Cardiovascular Electrophysiology , 30 (12) pp. 2900-2906. (2019)
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  Data: 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.
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  Data: 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/
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