title: Characterization of health care utilization in patients receiving implantable cardioverter-defibrillator therapies: An analysis of the managed ventricular pacing trial.
abstract: Implantable cardioverter-defibrillators (ICDs) are effective in terminating lethal arrhythmias, but little is known about the degree of health care utilization (HCU) after ICD therapies.
  
  
  
  Using data from the managed ventricular pacing trial, we sought to identify the incidence and types of HCU in ICD patients after receiving ICD therapy (shocks or antitachycardia pacing [ATP]).
  
  
  
  We analyzed HCU events (ventricular tachyarrhythmia [VTA]-related, heart failure-related, ICD implant procedure-related, ICD system-related, or other) and their association with ICD therapies (shocked ventricular tachycardia episode, ATP-terminated ventricular tachycardia episode, and inappropriately shocked episode).
  
  
  
  A total of 1879 HCUs occurred in 695 of 1030 subjects (80% primary prevention) and were classified as follows: 133 (7%) VTA-related, 373 (20%) heart failure-related, 97 (5%) implant procedure-related, 115 (6%) system-related, and 1160 (62%) other. Of 2113 treated VTA episodes, 1680 (80%) received ATP only and 433 (20%) received shocks. Stratifying VTA-related HCUs on the basis of the type of ICD therapy delivered, there were 25 HCUs per 100 shocked VTA episodes compared with 1 HCU per 100 ATP-terminated episodes. Inappropriate ICD shocks occurred in 8.7% of the subjects and were associated with 115 HCUs. The majority of HCUs (52%) began in the emergency department, and 66% of all HCUs resulted in hospitalization.
  
  
  
  For VTA-related HCUs, shocks are associated with a 25-fold increase in HCUs compared to VTAs treated by ATP only. Application of evidence-based strategies and automated device-based algorithms to reduce ICD shocks (higher rate cutoffs, use of ATP, and arrhythmia detection) may help reduce HCUs.
authors.affiliation: Cleveland Clinic Foundation, Cleveland Ohio. Electronic address: rickarj2@ccf.org.
authors.forename: John
authors.initials: J
authors.lastname: Rickard
authors.affiliation: Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: David
authors.initials: D
authors.lastname: Whellen
authors.affiliation: Medtronic, Mounds View, Minnesota.
authors.forename: Lou
authors.initials: L
authors.lastname: Sherfesee
authors.affiliation: Medtronic, Mounds View, Minnesota.
authors.forename: Brett J
authors.initials: BJ
authors.lastname: Peterson
authors.affiliation: Medtronic, Mounds View, Minnesota.
authors.forename: Tara
authors.initials: T
authors.lastname: Nahey
authors.affiliation: University of British Colombia Vancouver, BC.
authors.forename: Anthony S
authors.initials: AS
authors.lastname: Tang
authors.affiliation: Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Ellenbogen
authors.affiliation: Medtronic, Mounds View, Minnesota.
authors.forename: Alan
authors.initials: A
authors.lastname: Cheng
mesh_terms: D000465:Algorithms; D001145:Arrhythmias, Cardiac / Q000453:epidemiology / Q000628:therapy*; D001955:British Columbia / Q000453:epidemiology; D017147:Defibrillators, Implantable; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011322:Primary Prevention / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
keywords: ATP; Health care utilization; Hospitalization; ICD; MVP; Shocks