Pain during cardiac implantable electronic device implantation

Wilson, David G, Brewster, Nicki, Taylor, Robin J, Trevelyan, Amelia, Apostolakis, Michail, Goyal, Deepak, Foster, Will, Walklet, Elaine ORCID: 0000-0002-0690-230X and Bradley, Eleanor (2021) Pain during cardiac implantable electronic device implantation. British Journal of Cardiology, 28 (4). pp. 128-133. doi:10.5837/bjc.2021.043

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Introduction This study is to evaluate the extent and causes of pain during cardiac implantable electronic device (CIED) implantation in our hospital. Methods A prospective audit over a 23-month period using a patient self-reporting questionnaire was undertaken. Results In total, 599 procedures were reported, 52.9% for de novo pacemaker implantation and 23.4% for high-energy devices (ICD, CRT-D and S-ICD). Overall, the median pain score was 2/10 (interquartile range 2-4). In total, 61.6% (367/599) reported no pain or mild pain (pain scores 0-3/10), 27.7% (165/599) reported moderate pain (pain score of 4-6/10) and 10.7% (64/599) reported severe pain (pain score of 7-10/10) during the procedure. Significant pre-implant worry (OR 2.13, 95% CI 1.22 - 3.73) and higher lidocaine doses (OR 1.06, 95% CI 1.00 - 1.11) were associated with severe patient-reported pain. Conclusion Most patients underwent CIED implantation with minimum stress and maximum comfort. An important minority reported severe pain during the procedure. Optimising surgical technique and interventions targeted at reducing pre- and peri-implant worry, particularly in women and especially in those receiving ICDs warrants further investigation to reduce patient reported pain during CIED implantation.

Item Type: Article
Article Type: Article
Additional Information: The published article is freely available on the publisher's website via the publisher link below.
Uncontrolled Keywords: Anxiety; Implantable cardioverter defibrillator; Pain; Cardiac implantable electronic device
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Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RD Surgery
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Elaine Walklet
Date Deposited: 28 Oct 2021 15:58
Last Modified: 31 Oct 2023 16:03

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