Should we CHECK it? Assessing interrogation of cardiac implantable electronic devices in the Emergency Department

Should we CHECK it? Assessing interrogation of Cardiac Implantable Electronic Devices (CIEDs) in the Emergency Department; implications for service planning and care delivery.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12619000607178

Acronym

CHECK-ED

Enrollment

354

Registered

2019-04-23

Start date

2019-04-12

Completion date

2019-07-31

Last updated

2020-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purpose of this study is to investigate the outcomes of Cardiac Implantable Electronic Device (CIED) interrogations performed in the Emergency Department (ED). Patients who present to the Royal Adelaide Hospital’s (RAH) ED whom have an Implanted Cardiac Electronic Device (CIED) currently have their device interrogated upon request by the attending ED physician. These device interrogations are performed by Cardiac Physiologists, often requiring call-backs at the expense of the hospital, who use specialised computer systems which can interact with the device by telemetry. The performance of the CIED can be assessed during these interrogations to exclude device malfunction as a contributing factor to the patient’s clinical presentation. Furthermore, clinical data trends stored in the device can assist in diagnostics for the ED physician. It is not known how frequently significant issues are detected from these device checks. We hypothesize that there is a low yield of significant issues identified by CIED checks performed in the ED. The outcomes of this study can be used to develop evidence-based triaging methods to reduce the number of unnecessary checks and call-backs being performed.

Interventions

No intervention/exposure. This is a retrospective audit study which will review all Cardiac Implanted Electronic Device checks performed in the Royal Adelaide Hospital Emergency Department over a defined twelve month period to assess how often these checks identify relevant clinical data for the each patient's presentation. The audit period will be 4th September 2016 to 3rd September 2017, inclusive.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Inclusion in the audit will be evaluated by the following criteria: a. The patient presented to the Royal Adelaide Hospital ED and had a CIED interrogation performed during ED admission. b. The CIED was either a PPM, ICD or implanted Loop Recorder (ILR). c. The CIED check was documented in the patient’s medical records. d. At least 18 years of age.

Exclusion criteria

"None"

Outcome results