Patients' and family members' views on pacemaker reuse: An international survey

Introduction The reuse of cardiac implantable electronic devices may help increase access to these therapies in low‐ and middle‐income countries (LMICs). No published data exist regarding the views of patients and family members in LMICs regarding this practice. Methods and Results An article questi...

Full description

Saved in:
Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2022-03, Vol.33 (3), p.473-480
Main Authors: Hughey, Andrew B., Muthappan, Palaniappan, Badin, Auroa, Baman, Timir, Baig‐Ansari, Naila, Jawed, Fayez, Khan, Abdul B., Jiang, Qingmei, Hughey, Katherine L., Toruño, Rolando J., Machado, Christian, Refaat, Marwan M., Zakka, Patrick, Hotait, Mostafa, Eagle, Kim A., Crawford, Thomas C.
Format: Article
Language:English
Subjects:
Adult
Defibrillators, Implantable
Electronic equipment
Equipment Reuse
Family
global health
Humans
pacemaker
Pacemaker, Artificial
Pacemakers
Patients
reuse
reutilization
Surveys and Questionnaires
views
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction The reuse of cardiac implantable electronic devices may help increase access to these therapies in low‐ and middle‐income countries (LMICs). No published data exist regarding the views of patients and family members in LMICs regarding this practice. Methods and Results An article questionnaire eliciting attitudes regarding pacemaker reuse was administered to ambulatory adult patients and patients' family members at outpatient clinics at Centro Nacional Cardiologia in Managua, Nicaragua, Indus Hospital in Karachi, Pakistan, Hospital Carlos Andrade Marín, and Hospital Eugenio Espejo in Quito, Ecuador, and American University of Beirut Medical Center in Beirut, Lebanon. There were 945 responses (Nicaragua – 100; Pakistan – 493; Ecuador – 252; and Lebanon – 100). A majority of respondents agreed or strongly agreed that they would be willing to accept a reused pacemaker if risks were similar to a new device (707, 75%), if there were a higher risk of device failure compared with a new device (584, 70%), or if there were a higher risk of infection compared to a new device (458, 56%). A large majority would be willing to donate their own pacemaker at the time of their death (884, 96%) or the device of a family member (805, 93%). Respondents who were unable to afford a new device were more likely to be willing to accept a reused device (79% vs. 63%, p 
ISSN:1045-3873
1540-8167
DOI:10.1111/jce.15367