Clinical characteristics and mortality in all Czech patients after pacemaker implantation in the last decade

Miloš Táborský; Tomáš Skála; Ladislav Dušek; Josef Kautzner; Renata Aiglová; Marián Fedorco; Jiří Jarkovský; Klára Benešová; Petra Májková

doi:10.3389/fcvm.2023.1248145

Clinical characteristics and mortality in all Czech patients after pacemaker implantation in the last decade

Front Cardiovasc Med. 2023 Dec 8:10:1248145. doi: 10.3389/fcvm.2023.1248145. eCollection 2023.

Authors

Affiliations

¹ Department of Internal Medicine I-Cardiology, University Hospital Olomouc, Olomouc, Czech Republic.
² Institute of Health Information and Statistics of the Czech Republic, Praha, Czech Republic.
³ Cardiac Centre, Institute for Clinical and Experimental Medicine-IKEM, Praha, Czech Republic.
⁴ Faculty of Medicine, Institute of Biostatistics and Analyses, Masaryk University, Kamenice, Czech Republic.

Abstract

Background and aims: Analysis of mortality from the national health registries and data from a specific central registry dealing with the implantation of pacemakers (REPACE) in Czech patients.

Methods and results: Retrospective observational analysis of pacemakers' implantation in all Czech patients [n = 82,791; 47,070 (56.9%) men, 75.9 ± 10.4 years old] between 2010 and 2021. Almost 114,000 pacemakers were implanted between 2010 and 2021, of which 27.9% were single-chamber, 67.4% were dual-chamber and 4.6% were biventricular. The annual number of implantations has been steadily increasing with a 6% annual decline in 2020 with increased mortality and reductions in care provided, likely related to COVID-19. The observed 5-year relative survival was 88.6% (overall survival 60.6%) and the 10-year relative survival was 75.9% (overall survival 32.7%). Causes of death 5ary according to the age of the patient. The highest difference 1n the reported numbers in the REPACE Registry did not exceed 2% in comparison with the National Register of Reimbursed Health Services.

Conclusion: This study followed all Czech patients with pacemaker's implantation in between 2010 and 2021. The annual number of 1mplantations has been steadily 1ncreasing. Patients with implanted pacemakers had a significantly higher mortality than the average population. Number of patients in the registry corresponded almost perfectly with the National Register of Reimbursed Health Services.

Keywords: Czech republic; completeness; implantation; mortality; pacemaker; registry.

Grants and funding

The study was funded by the Czech Society of Cardiology and the Telemedicine Project from the National Recovery Program. The study design, data collection, analysis, manuscript writing, and decision to publish were undertaken without the involvement of any funding parties.