Jiyoun Song1, Aluem Tark2, Elaine L Larson2. 1. School of Nursing, Columbia University, 560 W 168th St, New York, NY 10032, USA. Electronic address: js4753@cumc.columbia.edu. 2. School of Nursing, Columbia University, 560 W 168th St, New York, NY 10032, USA.
Abstract
BACKGROUND: Pocket hematoma is a common adverse event following the insertion of cardiovascular implantable electronic devices (CIEDs), but the risk of wound infections associated with a pocket hematoma is unclear. OBJECTIVES: This integrative review aims to examine the relationship between pocket hematoma and risk of wound infection in a CIED population. METHODS: A comprehensive literature search for articles assessing the relationship between pocket hematoma and infection in four electronic databases was conducted in October 2018. RESULTS: After screening and full text review, 7 studies met inclusion criteria (combined sample = 8,177 patients). Most studies (6/7) reported a significant relationship between pocket hematoma and all types of infection (OR = 6.9-24.98; p < 0.05). The proportion of wound infection among all types of infections was 61.5 - 100%. CONCLUSIONS: Pocket hematoma is a significant risk factor for all types of infection, with the most frequent type of infection being wound infection.
BACKGROUND: Pocket hematoma is a common adverse event following the insertion of cardiovascular implantable electronic devices (CIEDs), but the risk of wound infections associated with a pocket hematoma is unclear. OBJECTIVES: This integrative review aims to examine the relationship between pocket hematoma and risk of wound infection in a CIED population. METHODS: A comprehensive literature search for articles assessing the relationship between pocket hematoma and infection in four electronic databases was conducted in October 2018. RESULTS: After screening and full text review, 7 studies met inclusion criteria (combined sample = 8,177 patients). Most studies (6/7) reported a significant relationship between pocket hematoma and all types of infection (OR = 6.9-24.98; p < 0.05). The proportion of wound infection among all types of infections was 61.5 - 100%. CONCLUSIONS: Pocket hematoma is a significant risk factor for all types of infection, with the most frequent type of infection being wound infection.
Authors: Edward Rojas; Katerina Morgaenko; Louis Brown; Sieu Kim; Sula Mazimba; Rohit Malhotra; Andrew Darby; Oliver Monfredi; Pamela Mason; James Michael Mangrum; David E Haines; Christopher Campbell; Kenneth Bilchick; Nishaki K Mehta Journal: Pacing Clin Electrophysiol Date: 2022-03-04 Impact factor: 1.912