Table 3. LOS and cost of CIED infection according to type of infection (CIED GPI vs. CIED LI/IE).
CIED-GPI (N = 68) |
CIED-LI/IE (N = 16) |
p | |
---|---|---|---|
Median cost of index device extraction (cost of extracted device is not included), £ (IQR) | |||
All cases | 2,121.49 955.54–3,695.64 |
1,329.12 887.97–2,126.28 |
0.214 |
CRT-D | 2,908.09 770.16–4,741.06 |
1,042.87 998.25–1,156.05 |
0.442 |
ICD | 2,149.23 1,040.06–4,203.67 |
1,482.75 1,103.71–1,844.33 |
0.296 |
PPM | 1,848.27 921.30–3,554.42 |
2,078.50 882.15–3,549.99 |
1.000 |
Median length of stay, days (IQR) | |||
All cases | 8 (2–19) | 15 (7–44) | 0.029 |
CRT-D | 9 (5–24) | 5 (1–19) | 0.631 |
ICD | 4 (2–15) | 8 (5–20) | 0.293 |
PPM | 10 (2–21) | 41 (16–47) | 0.005 |
Median cost of length of stay, £ (IQR) | |||
All cases | 2,625.00 (700.00–6,562.50) |
5,075.00 (2,537.50–15,400.00) |
0.029 |
CRT-D | 2,975.00 (1,750.00–8,225.00) |
1,750.00 (350.00–6,475.00) |
0.631 |
ICD | 1,225.00 (700.00–5,075.00) |
2,800.00 (1,750.00–7,000.00) |
0.293 |
PPM | 3,500.00 (700.00–7,350.00) |
14,350.00 (5,512.50–16,275.00) |
0.005 |
Median time from extraction to re-implant, days (IQR) | |||
All cases | 16 (14–33) |
30 (20–69) |
0.106 |
CRT-D | 33 (19–54) |
100 (51–206) |
0.449 |
ICD | 17 (14–60) |
20 (15–33) |
0.867 |
PPM | 15 (13–18) |
30 (28–53) |
0.019 |
Re-implant device cost, £ (IQR) | |||
All | 2,356.93 (1,181.85–10,941.00) |
2,553.76 (1,412.69–10,941.00) |
0.628 |
CRT-D | 10,941.00 (10,254.33–12,996.97) |
12,408.24 and 12,531.02 | 0.883 |
ICD | 12,150.00 (9,374.74–13,263.00) |
10,941.00 (10,549.43–11,270.20) |
0.559 |
PPM | 1,181.85 (1,100.00–1,996.20) |
1,412.69 (1,288.15–1,996.20) |
0.462 |
Grand total cost of CIED infection before life vest, £ (IQR) | |||
All | 11,819.42 (7,878.16–15,585.93) |
15,996.37 (13,722.47–19,505.43) |
0.028 |
CRT-D | 17,869.81 (13,844.91–21,911.97) |
15,134.11 (14,161.05–16394.30) |
0.574 |
ICD | 13,781.73 (11,262.33–21,200.92) |
15,431.83 (14,455.88–19,269.87) |
0.388 |
PPM | 9,324.07 (5,151.98–11,686.68) |
18,270.59 (8,860.31–20,529.31) |
0.022 |
Lifevest cost | |||
All cases | 8,000 8,000–12,000 |
4,000 16,000 40,000* | |
CRT-D | 8,000 8,000–16,000 |
16,000 & 40,000 | |
ICD | 12,000 7,000–12,000 |
4,000 | |
Received externalized pacemaker | 13 | 2 | |
Grand total cost of CIED infection, £ (IQR) | |||
All | 12,741.93 (7,196.04–22,707.29) |
18,197.32 (13,963.76–22,914.12) |
0.105 |
CRT-D | 23,647.89 (20,575.91–28,824.90) |
24,761.87 (16,683.11–37,500.00) |
0.959 |
ICD | 21,306.86 (14,414.86–26,218.39) |
17,431.83 (15,257.15–21,468.61) |
0.852 |
PPM | 9,324.07 (5,088.22–11,687.68) |
18,270.59 (8,860.31–20,529.31) |
0.018 |
Grand total cost of CIED infection with antibiotics, £ (IQR) | |||
All | 12,741.93 (7,196.04–22,707.29) |
18,200.26 (13,963.76–22,914.12) |
0.105 |
CRT-D | 23,675.89 (20,610.21–28,824.90) |
24,767.19 (16,683.11–37,507.98) |
<0.001 |
ICD | 21,306.86 (14,416.33–26,218.58) |
17,434.76 (15,257.15–21,473.02) |
<0.001 |
PPM | 9,324.07 (5,089.69–11,686.68) |
18,270.59 (8,908.31–20,529.31) |
<0.001 |
*Only three patients in this group receive a Lifevest, therefore statistical test not appropriate due to low number of cases.