Urban-Rural Disparity in Cardiac Implantable Electronic Device Use: A 10-Year Statewide Cohort.

ABSTRACT:

Background

We examined cardiac implantable electronic device (CIED) implantation and outcomes related to geographical remoteness.

Methods

This was a retrospective cohort study of adult cardiovascular hospitalisations in New South Wales, Australia (2008-2018). The primary outcome was CIED implantation in arrhythmia, cardiomyopathy, and syncope groups (and subcategories) among rural and regional residents. Secondary outcomes included CIED subtypes: pacemaker (PPM), implantable defibrillator (ICD) and cardiac resynchronisation therapy (CRT), examination of 10-year implant trends, and 5-year mortality rates adjusted for age and comorbidities.

Results

Of the 1,291,258 cardiovascular admissions, 880,972 patients were from major cities (urban), 304,961 from inner regional (r

SUBMITTER: Cho KK 

PROVIDER: S-EPMC12700143 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature