Process metrics | Usual care (n=122) | CRT-CPW (n=115) | P value* | ||
Mean±SD | Median (IQR) | Mean±SD | Median (IQR) | ||
Outpatient clinic visits (n) | 10.8±4.1 | 10.0 (8–13) | 10.1±4.3 | 10.0 (7–12) | 0.21 |
Pre procedure | 1.2±1.5 | 1.0 (0–2) | 1.6±1.4 | 1.0 (0–2) | 0.010 |
Post procedure | 6.8±2.7 | 7.0 (5–8) | 7.5±3.5 | 7.0 (5–10) | 0.099 |
Outpatient clinic consultations (n) | 8.1±3.3 | 8.0 (6–10) | 9.9±4.2 | 10.0 (7–12) | <0.001 |
Pre procedure | 1.2±1.5 | 1.0 (0–2) | 2.1±1.8 | 2.0 (0–3) | <0.0001 |
Post procedure | 6.9±2.8 | 7.0 (5–8) | 7.8±3.7 | 7.0 (5–10) | 0.059 |
Physician | 2.6±2.1 | 2.0 (1–4) | 1.7±1.4 | 2.0 (1–2) | <0.001 |
HF nurse | 1.7±2.0 | 1.0 (0–3) | 2.4±1.5 | 2.0 (1–3) | <0.0001 |
Pacemaker/ICD nurse | 0.0±0.3 | 0.0 (0–0) | 0.8±0.7 | 1.0 (0–1) | <0.0001 |
Pacemaker/ICD technician | 3.7±1.5 | 3.0 (3–4) | 4.3±2.5 | 4.0 (3–5) | 0.063 |
Time to treatment | 37.0±26.3 | 29.2 (16–53) | 23.6±18.4 | 21.0 (10–31) | 0.002 |
Length of hospital stay (days) | 4.8±9.3 | 2.0 (1–2) | 2.4±4.8 | 1.0 (1–2) | <0.0001 |
Post procedure (implant to discharge) | 1.5±0.7 | 2.0 (1–2) | 1.1±1.2 | 1.0 (0–1) | <0.0001 |
Same-day discharge (%) | 7% | 28% | <0.0001 | ||
≤1 night stay (%) | 43% | 78% | <0.0001 | ||
Follow-up (discharge to 1 year) | 3.2±9.2 | 0.0 (0–0) | 1.3±4.6 | 0.0 (0–0) | 0.27 |
*P-value compares old and new pathways. Tests used are Wilcoxon ranksumand Fisher exact tests. P-value<0.05 is considered significant
CRT, cardiac resynchronisation therapy; CRT-CPW, CRT care pathway; HF, heart failure; ICD, implantable cardioverter-defibrillator.