Pacemaker Implantation in Elderly Patients: Post-hospital Ischarge Care
DOI:
https://doi.org/10.36489/nursing.2025v30i331p12287-12301Keywords:
Patient discharge, Postoperative care, elderly, Artificial pacemaker, Postoperative periodAbstract
Objective: to review the national and international literature on the care required for the discharge of elderly patients after cardiac pacemaker implantation. Method: integrative review conducted in the following databases: Embase, Medline/PubMed, Cinahl, Cochrane, Web of Science, and Portal BVS. The search was conducted in October 2024. Results: The sample consisted of eight articles, categorized as: Surgical Complications; General Pacemaker Care; and Post-Discharge Monitoring. Conclusion: Surgical complications were divided into intra-procedural and post-procedural complications, while general care focused on guidelines regarding electromagnetic interference, driving, and physical exercise. In monitoring after hospital discharge, telehealth stands out as a therapeutic intervention for care. In this context, the essential role of nursing in the systematization of care, health education, and continuous patient follow-up is evident, promoting safety, autonomy, and quality of life after pacemaker implantation.
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References
Gonçalo SS, Grotti EMO, Furuia RK, Dantas RAS, Rossi LA, Dessotte CAM. Health-related quality of life of patients with permanente cardiac pacing. Texto Contexto Enferm [Internet]. 2020 [cited 15 Nov 24]; 29: 1-12. Avaliable from: https://doi.org/10.1590/1980-265X-TCE-2018-0486
Oliveira ES, Menezes TMO, Gomes NP, Oliveira LMS, Batista VM, Oliveira MCM, Chaves AN. Transitional care of nurses to older adults with artificial pacemaker. Rev Bras Enferm [Internet]. 2022 [cited 18 Nov 24]; 75(4): 1-8. Avaliable from: https://doi.org/10.1590/0034-7167-2021-0192
Sociedade Brasileira de Cardiologia. Atualização das diretrizes em cardiogeriatria da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol [Internet]. 2019 [citado 2025 Apr 05];112(5):649-705. Disponível em:10.5935/abc.20190075
Silva LDC, Caminha ELC, Ferreira NS. Qualidade de vida de indivíduos portadores de dispositivo cardíaco eletrônico implantável. Rev Enferm UERJ [Internet]. 2019 [citado 2025 Apr 05]; 27:1-6. Disponível em:https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/45014
Ordem dos Enfermeiros. Guia orientador de boa prática em enfermagem de reabilitação: reabilitação cardíaca. Ordem dos Enfermeiros [Internet]. 2020 [cited 2025 Apr 08; 1-376. Available from: https://www.flipsnack.com/ordemenfermeiros/gobper/full-view.html
Mendes KDS, Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm [Internet]. 2008 [citado 03 Feb 25]; 17(4): 758-64. Disponível em: https://doi.org/10.1590/S0104-07072008000400018
Rayyan. Rayyan – intelligent systematic review [Internet]. 2022 [cited 2024 Oct 5]; Available from: https://www.rayyan.ai/
Oxford Centre for Evidence-Based Medicine. Levels of evidence [Internet]. Oxford: University of Oxford; 2011 [cited 2024 Nov 10]; Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence
PRISMA. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA 2020 flow diagram [Internet]. 2020 [cited 2025 Apr 10]; Available from: https://www.prisma-statement.org/prisma-2020-flow-diagram
Budano C, Garrone P, Castagno D, Bissolino A, Andreis A, Bertolo L, Mazzini D, Bergasmaco L, et.al. Same-day CIED implantation and discharge: Is it possible? The E-MOTION trial (Early MObilization after pacemaker implantaTION). International Journal of Cardiology [Internet]. 2019 [cited 10 Oct 24]; 288: 82-6. Avaliable from: https://dx.doi.org/10.1016/j.ijcard.2019.04.020
López-Liria R, López-Villegas A, Enebakk T, Thunhaug H, Lappegård KT, Catalán-Matamoros D. Telemonitoring and Quality of Life in Patients after 12 Months Following a Pacemaker Implant: the Nordland Study, a Randomised Trial. International Journal of Environmental Research and Public Health [Internet]. 2019 [cited 02 Nov 24]; 16(11): 1-13. Avaliable from: https://pubmed.ncbi.nlm.nih.gov/31195650/
Madadi S, Kafi M, Kheirkhah J, Azhari A, Kiarsi M, Mehryar A, Fazelifar A, Alizadehdiz A, et al. Postoperative antibiotic prophylaxis in the prevention of cardiac implantable electronic device infection. Pacing and Clinical Electrophysiology [Internet]. 2019 [cited 08 Nov 24]; 42(2):161–5. Avaliable from: https://pubmed.ncbi.nlm.nih.gov/30575054/
Sławiński G, Zieleniewicz P, Młyński M, Budrejko S, Królak T, Szymanowicz LD, Kempa M. Optimal hospital discharge time after cardiac implantable electronic device implantation: A retrospective study from a tertiary electrotherapy center. Polish Heart Journal [Internet]. 2024 [cited 15 Nov 24]; 82(2): 206–9. Avaliable from: https://pubmed.ncbi.nlm.nih.gov/37718580/
Shen Z, Zheng F, Zhong Z, Ding S, Wang L. Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlledtrial. Nursing & Health Sciences [Internet]. 2019 [ cited 20 Nov 24]; 21(2):269–77. Avaliable from: https://pubmed.ncbi.nlm.nih.gov/30677198/15
Tachibana M, Banba K, Matsumoto K, Ohara M. The feasibility of leadless pacemaker implantation for superelderly patients. Pacing and Clinical Electrophysiology [Internet]. 2020 [cited 20 Nov 24]; 43(4): 374–81. Avaliable from: https://onlinelibrary.wiley.com/doi/10.1111/pace.13894?msockid=02727c7e0cdd6dbb109968a80da46c5a
Ignácio IB, Fernandes PA, Maier SRO, Dessotte CAM. Anxiety, depression and cardiac anxiety in patients with implantable cardioverter defibrillator according to gender and age. Rev Rene [Internet]. 2021[citado 02 Dec 24]; 22:e61117. Avaliable from: https://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S1517-38522021000100317
Fenelon G, Nishioka SAD, Lorga FA, Teno LAC., Pachon EI., Adura FE,et.al. Sociedade Brasileira de Cardiologia e Associação Brasileira de Medicina de Trafego. Recomendações Brasileiras para direção veicular em portadores de dispositivos cardíacos eletrônicos implantáveis (DCEI) e arritmias cardíacas. Arq Bras Cardiol [Internet]. 2012 [citado 2025 Apr 20]; 99 (5):1-10. Available from: https://sobrac.org/wp-content/uploads/2023/10/diretriz-direcao-veicular-2012.pdf
Ministério da Saúde. Portaria GM/MS nº 1.348, de 2 de junho de 2022 (BR): dispõe sobre as ações e serviços de Telessaúde no âmbito do Sistema Único de Saúde (SUS). Brasília [Internet]. 2022 Jun 2 [citado 2025 Apr 10]; Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2022/prt1348_03_06_2022.html
Santos JV, Flores PVP, Ferreira MV da C, Pinto VVG, Sá LV de, Silva JS da. Surgical site infection and nurse telemonitoring in the postoperative period: a scoping review. Online Braz J Nurs [Internet]. 2024 [cited 10 Jan 25]; 23. 1-14. Disponível em: https://doi.org/10.17665/1676-4285.20246673
Costa ICP, Costa AS, Garbuio DC, Zamarioli CM, Eduardo AHA, Carvalho EC, Chaves ECL. Telessaúde na assistência ao paciente por enfermeiros de prática avançada: revisão sistemática. Acta Paul Enferm [Internet]. 2025[ citado 20 Jan 25]; 38: 1-13.Disponível em: http://dx.doi.org/10.37689/acta-ape/2025AR0003141
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Copyright (c) 2025 Regiani Bernardino da Silva, Tatiane Prette Kuznier, Karina Silveira de Almeida Hammerschmidt, Susanne Elero Betiolli, Jane Francisco da Costa Testoni, Fernando Chiquito Costa, Cláudia Fernanda Toporoski Sereneski Zoschke, Caroline Quinsler
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