Search for: [Abstract = "chamber pacemaker in the provincial centre were hospitalized longer than those treated in the reference centre \(the average stay in the provincial hospital for a patient with VVI pacemaker was six days vs. on average 4 days for the reference centre, p<0.001\). The technique of subclavian venipuncture used to implant the endocardial electrode was more common in the provincial hospital \(61.9% vs. 46.7%, p=0.034\). In addition, in 100% of cases, the provincial centre used the passive electrode attachment. It was clearly demonstrated that the number of both early and late \(3 months after procedure\) complications after implantation of a single or dual\-chamber pacemaker in the less experienced centre was not significantly statistically different from the number of complications reported in the reference centre. It has been proven that the technique of electrode implantation has a statistically significant effect on the number of complications \(OR=0.11, CI=0.02\-0.91, regression coefficient=\-2.16, p<0.04\). Subclavian venipuncture was associated with a statistically significantly higher incidence of pneumothorax as an implantation complication \(p<0.019\). However, the type of pacemaker, electrodes or indication for implantation did not have a statistically significant influence on the complications. Moreover, it has been shown that patients with ischemic heart disease and myocardial infarction are the most exposed to the complications mentioned above \(OR=3.73, CI=1.13\-12.3, regression coefficient=1.32, p<0.03\). During the follow\-up period, the Rydygier Hospital reported a significantly higher threshold of stimulation 24 hours after VVI implantation \(p=0.004\).The schedule was not fully executed in both centres in terms of all planned visits. Out of 15 planned check\-ups, only 9 took place on average. All check\-ups at the provincial clinic were carried out by a physician who used suitable programmers. Most visits in the reference centre were carried out by a technician who used the „IMPULS\-BIS” set. There were significantly greater differences \(R\) in terms of sensing between the maximum and minimum in a patient with VVI pacemaker in the John Paul II Hospital than in the Rydygier Hospital \(p=0.048\). The mean difference in sensing in the John Paul II Hospital was 4.6 \(Me=3.8\), whereas in the Rydygier Hospital 3.3 \(Me=1.9\). There were no statistically significant \"fluctuations of sensing, stimulation threshold or impedance\" both in the atrial and ventricular channel in patients under the care of provincial"]

Number of results: 0