Effectiveness of a Non-Taped Compression Dress in Patients Receiving Cardiac Implantable Electronic Devices

Chih-Yin Chien ； Ya-Hui Chang ； Yih-Jer Wu ； Po-Lin Lin ； Wei-Ru Chiou ； Bo-Ching Chi ； Hsu-Ping Wu ； Feng-Ching Liao ； Ying-Hsiang Lee

《Acta Cardiologica Sinica》 35卷3期 (2019/05) Pp. 320-324

https://doi.org/10.6515/ACS.201905_35(3).20190107A

摘要

Background: Hematoma and skin damage are not uncommon after cardiac implantable electronic device (CIED) placement. The use of conventional hemostatic gauze and tape seems to be suboptimal in controlling these complications. This study aimed to evaluate the impact of a novel compression dress with a special pad and elastic bands for postoperative care. Methods: A total of 175 CIED recipients were randomly divided into two groups: an experimental group with 85 patients who used a non-taped compression dress and a control group with 90 patients who used conventional gauze ball and elastic tapes. Skin integrity, hematoma, and oozing were compared between these two groups within 7 days after surgery. Results: The mean age of the patients was 71.2 ± 13.3 years, and 83 (47.4%) were male. The results of the experimental vs. control group were as follows: skin integrity - 96.5% vs. 86.7% (p ＜ 0.05); hematoma - 0% vs. 7.8% (p ＜ 0.05); and oozing - 1.2% vs. 7.8% (p ＜ 0.05). All observed endpoints were better in the experimental group. Conclusions: The use of a non-taped compression dress was associated with less unfavorable outcomes in terms of skin integrity and hemostasis.

關鍵字

Cardiac implantable electronic device (CIED) ； Complication ； Compression dress ； Hematoma ； Pocket