Review Article

Electrocardiogram (ECG), In-Patients, Jakaya Kikwete Cardiac Institute (JKCI)

Authors: Gordian Mtwangabhate, Reuben Mutta, Zahra khan, Abdul Rafey Usmani.

DOI: 10.33425/3070-4022.1007

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Abstract

Background: Cardiac pacing has been used in the treatment of bradyarrhythmia’s since 1958. It is safe and efficient therapy that improves prognosis and quality of life. This clinical audit aimed at auditing In-person office follow-up practice at JKCI to monitor patients with pacemakers, ICD and CRT devices from November 2013 to February 2019.

Methods: This is the retrospective clinical audit for patients having CIEDs at JKCI implanted between November 2013 and December 2018 and were checked whether their follow-up practice abide to recommended guidelines.

Results: About 146 patients were included in this clinical audit, after excluding those patients whose their files were missed (n=40) as well as those whose files had no desired information (n=6). Female patients were 51% (n=75), dominant age group was between 60 to 79 years (59%, n=86), about 51% (n=74) of patients came from regions apart from Dar es Salaam and Pwani and pacemaker was dominant device (86%, n=125). For in-patient followup, surgical wound inspection and control chest X-ray were 83% and 60% done respectively, which was below audit set standard. No data were available for surgical site inspection and control chest X-ray after one month follow-up. Follow-up visit for device interrogations, in-hospital, after one, three and six months were 79%, 47%, 32% and 27% respectively which also were below set standard.

Conclusion: Surgical site inspection, control chest X-ray and device interrogation follow-up practice all were below the clinical audit set standard at JKCI.

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