Retrospective Review Identifying Patients With Bacteremia and Intracardiac Devices With an Electronic Health Record Advisory

2024

Improving Patient Care for Bacteremia with Cardiac Devices

Sample size: 447 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Velez Oquendo Gabriel, Mahmood Riaz, Ahn Joon, Robinson Shane

Primary Institution: Northeast Georgia Medical Center Gainesville

Hypothesis

Can implementing a best practice advisory in electronic health records improve the identification and management of patients with bacteremia and cardiac implantable electronic devices?

Conclusion

The implementation of the best practice advisory did not show significant improvements but indicated positive trends in consultations and device extractions over time.

Supporting Evidence

The BPA resulted in a nonsignificant increase in EP consultations from 19.66% to 25.88%.
EP consults were a significant predictor for device extractions with an odds ratio of 9.4644.
The mortality rate decreased from 17.42% to 14.13% after BPA implementation.
The study included 447 patients diagnosed with bacteremia and CIED.
Most patients in the post-BPA group had more comorbidities compared to the pre-BPA group.

Takeaway

This study looked at how a reminder system in hospitals can help doctors notice when patients with heart devices have infections, which could help them get better care.

Methodology

Data was collected from electronic medical records to identify patients with bacteremia and cardiac devices, comparing outcomes before and after the implementation of a best practice advisory.