Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach
Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve outcomes in patients with symptomatic, refractory atrial fibrillation (AF). Superior approach (SA) from the pocket, via axillary or subclavian vein, has been recently proposed as an alternative to the conventional f...
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| Veröffentlicht in: | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2024-03 |
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| container_title | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology |
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| creator | Palmisano, Pietro Cesario, Sergi Panico, Vincenzo Chiarillo, Marco Valerio Chiuri, Maria Domenica Martella, Maria Lucia Stefanelli, Gianluca Martella, Deborah Mauro, Raffaele Ponzetta, Maria Antonietta Parlavecchio, Antonio Accogli, Michele Coluccia, Giovanni |
| description | Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve outcomes in patients with symptomatic, refractory atrial fibrillation (AF). Superior approach (SA) from the pocket, via axillary or subclavian vein, has been recently proposed as an alternative to the conventional femoral venous approach (FA) to perform AVJA. In this study we compared the impact of these alternative approaches on the nurse workload (NWL) and on patient satisfaction.
Prospective, observational study, enrolling consecutive patients undergoing simultaneous CSP and AVJA. ElectrophysiologyLaboratory (EP Lab) NWL was calculated with a self-developed model. Ward NWL was calculated using the MIDENF® validated scale. Patient satisfaction was collected using the Hospital Consumer Assessment of Healthcare Provider Systems (HCAHPS) questionnaire. A total of 119 patients were enrolled: in 50, AVJA was primarily attempted with SA, in 69 from FA. Compared to FA, SA was associated with a lower EP Lab NWL (169.8±26.7 vs. 202.7±38.9 minutes; p |
| doi_str_mv | 10.1093/eurjcn/zvae043 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed</sourceid><recordid>TN_cdi_pubmed_primary_38552177</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>38552177</sourcerecordid><originalsourceid>FETCH-pubmed_primary_385521773</originalsourceid><addsrcrecordid>eNqFkM9OAjEQxhsTI_jn6tHMCyC7rmThbDR6906GblcKbaeZtpD1gX0OB5Czh87XzHzz65cqdV9Xj3W1aKam8EaH6fcOTfXcXKhxPW-bSb2YNSN1ndKmqupWzpUaNfPZ7Klu27H6-fARdQYKEAonA3virSPsAEMHEbM1IUMSTb34rPioB8xsaScTtro4ZNiUcBriyuHxEg33xN50kKwvLmMwVJIbYG_zGjSFrpw20pCy8fKUtuELSjpUhFQEYIkBY2RCvYaeyUNeG4iktyYLQpKz8DMd24I8JBIkOuiNJxY9b9-qyx5dMnd_eqMe3l4_X94nsawk4zKy9cjD8vwxzb-GX6ytfhM</addsrcrecordid><sourcetype>Index Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach</title><source>Oxford University Press Journals Current</source><creator>Palmisano, Pietro ; Cesario, Sergi ; Panico, Vincenzo ; Chiarillo, Marco Valerio ; Chiuri, Maria Domenica ; Martella, Maria Lucia ; Stefanelli, Gianluca ; Martella, Deborah ; Mauro, Raffaele ; Ponzetta, Maria Antonietta ; Parlavecchio, Antonio ; Accogli, Michele ; Coluccia, Giovanni</creator><creatorcontrib>Palmisano, Pietro ; Cesario, Sergi ; Panico, Vincenzo ; Chiarillo, Marco Valerio ; Chiuri, Maria Domenica ; Martella, Maria Lucia ; Stefanelli, Gianluca ; Martella, Deborah ; Mauro, Raffaele ; Ponzetta, Maria Antonietta ; Parlavecchio, Antonio ; Accogli, Michele ; Coluccia, Giovanni</creatorcontrib><description>Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve outcomes in patients with symptomatic, refractory atrial fibrillation (AF). Superior approach (SA) from the pocket, via axillary or subclavian vein, has been recently proposed as an alternative to the conventional femoral venous approach (FA) to perform AVJA. In this study we compared the impact of these alternative approaches on the nurse workload (NWL) and on patient satisfaction.
Prospective, observational study, enrolling consecutive patients undergoing simultaneous CSP and AVJA. ElectrophysiologyLaboratory (EP Lab) NWL was calculated with a self-developed model. Ward NWL was calculated using the MIDENF® validated scale. Patient satisfaction was collected using the Hospital Consumer Assessment of Healthcare Provider Systems (HCAHPS) questionnaire. A total of 119 patients were enrolled: in 50, AVJA was primarily attempted with SA, in 69 from FA. Compared to FA, SA was associated with a lower EP Lab NWL (169.8±26.7 vs. 202.7±38.9 minutes; p<0.001), and a lower Ward NWL (474.5±184.8 vs. 808.6±289.9 minutes; p<0.001). Multivariate analysis identified SA as an independent predictor of lower EP Lab NWL (hazard ratio 4.60; p=0.001), and of lower Ward NWL (hazard ratio 45.13; p<0.001). Compared to FA, SA was associated with a higher patient-reported rating regarding the experience during hospital stay (p=0.035), and the overall hospital evaluation (p=0.026).
In patients undergoing simultaneous CSP and AVJA, the use of a SA for ablation is a valid alternative to conventional FA. Compared to FA, this approach significantly reduces NWL, and is associated with greater patient satisfaction.</description><identifier>EISSN: 1873-1953</identifier><identifier>DOI: 10.1093/eurjcn/zvae043</identifier><identifier>PMID: 38552177</identifier><language>eng</language><publisher>England</publisher><ispartof>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2024-03</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-6705-6218</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38552177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palmisano, Pietro</creatorcontrib><creatorcontrib>Cesario, Sergi</creatorcontrib><creatorcontrib>Panico, Vincenzo</creatorcontrib><creatorcontrib>Chiarillo, Marco Valerio</creatorcontrib><creatorcontrib>Chiuri, Maria Domenica</creatorcontrib><creatorcontrib>Martella, Maria Lucia</creatorcontrib><creatorcontrib>Stefanelli, Gianluca</creatorcontrib><creatorcontrib>Martella, Deborah</creatorcontrib><creatorcontrib>Mauro, Raffaele</creatorcontrib><creatorcontrib>Ponzetta, Maria Antonietta</creatorcontrib><creatorcontrib>Parlavecchio, Antonio</creatorcontrib><creatorcontrib>Accogli, Michele</creatorcontrib><creatorcontrib>Coluccia, Giovanni</creatorcontrib><title>Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach</title><title>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</title><addtitle>Eur J Cardiovasc Nurs</addtitle><description>Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve outcomes in patients with symptomatic, refractory atrial fibrillation (AF). Superior approach (SA) from the pocket, via axillary or subclavian vein, has been recently proposed as an alternative to the conventional femoral venous approach (FA) to perform AVJA. In this study we compared the impact of these alternative approaches on the nurse workload (NWL) and on patient satisfaction.
Prospective, observational study, enrolling consecutive patients undergoing simultaneous CSP and AVJA. ElectrophysiologyLaboratory (EP Lab) NWL was calculated with a self-developed model. Ward NWL was calculated using the MIDENF® validated scale. Patient satisfaction was collected using the Hospital Consumer Assessment of Healthcare Provider Systems (HCAHPS) questionnaire. A total of 119 patients were enrolled: in 50, AVJA was primarily attempted with SA, in 69 from FA. Compared to FA, SA was associated with a lower EP Lab NWL (169.8±26.7 vs. 202.7±38.9 minutes; p<0.001), and a lower Ward NWL (474.5±184.8 vs. 808.6±289.9 minutes; p<0.001). Multivariate analysis identified SA as an independent predictor of lower EP Lab NWL (hazard ratio 4.60; p=0.001), and of lower Ward NWL (hazard ratio 45.13; p<0.001). Compared to FA, SA was associated with a higher patient-reported rating regarding the experience during hospital stay (p=0.035), and the overall hospital evaluation (p=0.026).
In patients undergoing simultaneous CSP and AVJA, the use of a SA for ablation is a valid alternative to conventional FA. Compared to FA, this approach significantly reduces NWL, and is associated with greater patient satisfaction.</description><issn>1873-1953</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkM9OAjEQxhsTI_jn6tHMCyC7rmThbDR6906GblcKbaeZtpD1gX0OB5Czh87XzHzz65cqdV9Xj3W1aKam8EaH6fcOTfXcXKhxPW-bSb2YNSN1ndKmqupWzpUaNfPZ7Klu27H6-fARdQYKEAonA3virSPsAEMHEbM1IUMSTb34rPioB8xsaScTtro4ZNiUcBriyuHxEg33xN50kKwvLmMwVJIbYG_zGjSFrpw20pCy8fKUtuELSjpUhFQEYIkBY2RCvYaeyUNeG4iktyYLQpKz8DMd24I8JBIkOuiNJxY9b9-qyx5dMnd_eqMe3l4_X94nsawk4zKy9cjD8vwxzb-GX6ytfhM</recordid><startdate>20240329</startdate><enddate>20240329</enddate><creator>Palmisano, Pietro</creator><creator>Cesario, Sergi</creator><creator>Panico, Vincenzo</creator><creator>Chiarillo, Marco Valerio</creator><creator>Chiuri, Maria Domenica</creator><creator>Martella, Maria Lucia</creator><creator>Stefanelli, Gianluca</creator><creator>Martella, Deborah</creator><creator>Mauro, Raffaele</creator><creator>Ponzetta, Maria Antonietta</creator><creator>Parlavecchio, Antonio</creator><creator>Accogli, Michele</creator><creator>Coluccia, Giovanni</creator><scope>NPM</scope><orcidid>https://orcid.org/0000-0001-6705-6218</orcidid></search><sort><creationdate>20240329</creationdate><title>Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach</title><author>Palmisano, Pietro ; Cesario, Sergi ; Panico, Vincenzo ; Chiarillo, Marco Valerio ; Chiuri, Maria Domenica ; Martella, Maria Lucia ; Stefanelli, Gianluca ; Martella, Deborah ; Mauro, Raffaele ; Ponzetta, Maria Antonietta ; Parlavecchio, Antonio ; Accogli, Michele ; Coluccia, Giovanni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-pubmed_primary_385521773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmisano, Pietro</creatorcontrib><creatorcontrib>Cesario, Sergi</creatorcontrib><creatorcontrib>Panico, Vincenzo</creatorcontrib><creatorcontrib>Chiarillo, Marco Valerio</creatorcontrib><creatorcontrib>Chiuri, Maria Domenica</creatorcontrib><creatorcontrib>Martella, Maria Lucia</creatorcontrib><creatorcontrib>Stefanelli, Gianluca</creatorcontrib><creatorcontrib>Martella, Deborah</creatorcontrib><creatorcontrib>Mauro, Raffaele</creatorcontrib><creatorcontrib>Ponzetta, Maria Antonietta</creatorcontrib><creatorcontrib>Parlavecchio, Antonio</creatorcontrib><creatorcontrib>Accogli, Michele</creatorcontrib><creatorcontrib>Coluccia, Giovanni</creatorcontrib><collection>PubMed</collection><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmisano, Pietro</au><au>Cesario, Sergi</au><au>Panico, Vincenzo</au><au>Chiarillo, Marco Valerio</au><au>Chiuri, Maria Domenica</au><au>Martella, Maria Lucia</au><au>Stefanelli, Gianluca</au><au>Martella, Deborah</au><au>Mauro, Raffaele</au><au>Ponzetta, Maria Antonietta</au><au>Parlavecchio, Antonio</au><au>Accogli, Michele</au><au>Coluccia, Giovanni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach</atitle><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle><addtitle>Eur J Cardiovasc Nurs</addtitle><date>2024-03-29</date><risdate>2024</risdate><eissn>1873-1953</eissn><abstract>Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve outcomes in patients with symptomatic, refractory atrial fibrillation (AF). Superior approach (SA) from the pocket, via axillary or subclavian vein, has been recently proposed as an alternative to the conventional femoral venous approach (FA) to perform AVJA. In this study we compared the impact of these alternative approaches on the nurse workload (NWL) and on patient satisfaction.
Prospective, observational study, enrolling consecutive patients undergoing simultaneous CSP and AVJA. ElectrophysiologyLaboratory (EP Lab) NWL was calculated with a self-developed model. Ward NWL was calculated using the MIDENF® validated scale. Patient satisfaction was collected using the Hospital Consumer Assessment of Healthcare Provider Systems (HCAHPS) questionnaire. A total of 119 patients were enrolled: in 50, AVJA was primarily attempted with SA, in 69 from FA. Compared to FA, SA was associated with a lower EP Lab NWL (169.8±26.7 vs. 202.7±38.9 minutes; p<0.001), and a lower Ward NWL (474.5±184.8 vs. 808.6±289.9 minutes; p<0.001). Multivariate analysis identified SA as an independent predictor of lower EP Lab NWL (hazard ratio 4.60; p=0.001), and of lower Ward NWL (hazard ratio 45.13; p<0.001). Compared to FA, SA was associated with a higher patient-reported rating regarding the experience during hospital stay (p=0.035), and the overall hospital evaluation (p=0.026).
In patients undergoing simultaneous CSP and AVJA, the use of a SA for ablation is a valid alternative to conventional FA. Compared to FA, this approach significantly reduces NWL, and is associated with greater patient satisfaction.</abstract><cop>England</cop><pmid>38552177</pmid><doi>10.1093/eurjcn/zvae043</doi><orcidid>https://orcid.org/0000-0001-6705-6218</orcidid></addata></record> |
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| title | Impact on nurse workload and patient satisfaction of atrioventricular junction ablation performed simultaneously with conduction system pacing using a superior approach from the pocket compared to the conventional femoral approach |
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