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Preliminary assessment of paediatric electrophysiology cardiac implantable electronic device resources around the world

Published online by Cambridge University Press:  01 April 2022

M Cecilia Gonzalez Corcia Open the ORCID record for M Cecilia Gonzalez Corcia [Opens in a new window] ,
Mitchell I Cohen Open the ORCID record for Mitchell I Cohen [Opens in a new window] ,
Thomas Paul ,
Jonathan R Skinner  and
Maully Shah
M Cecilia Gonzalez Corcia*
Affiliation:
Department of Paediatric Cardiology, Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
Mitchell I Cohen
Affiliation:
Department of Pediatric Cardiology, Inova Children’s Hospita, Virginia Commonwealth School of Medicine. Fairfax, VA, USA
Thomas Paul
Affiliation:
Department of Pediatric Cardiology, Georg-August-University, Germany
Jonathan R Skinner
Affiliation:
The Heart Centre for Children, Sydney Childen’s Hospital Network, Sydney, NSW, Australia
Maully Shah
Affiliation:
Division of Pediatric Cardiology, The Children’s Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
*
Author for correspondence: M Cecilia Gonzalez Corcia, MD, PHD, Department of Paediatric Cardiology, Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, BS2 8BJ, Bristol, UK. Tel: 0044 7767 718 535; Fax: +441173429281. E-mail: cecilia.gonzalezcorcia@uhbristol.nhs.uk
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Abstract

Background:

The Pediatric and Congenital Electrophysiology Society (PACES) is a global organisation committed to the care of children and adults with CHD and arrhythmias.

Objective:

To evaluate the global needs and potential inequities as it relates to cardiac implantable electronic devices.

Methods:

ARROW (Assessment of Rhythm Resources arOund the World) is an online survey about cardiac implantable electronic devices, sent electronically to physicians within the field of Cardiology, Pediatric Cardiology, Electrophysiology and Pediatric Electrophysiology.

Results:

ARROW received 42 responders from 28 countries, 50% from low-/middle-income regions. The main differences between low-/middle- and high-income regions include availability of expertise on paediatric electrophysiology (50% versus 93%, p < 00.5) and possibility to perform invasive procedures (35% versus 93%, p < 0.005). Implant of devices in low-income areas relies significantly on patient’s resources (71%). The follow-up of the devices is on the hands of paediatric cardiologist/electrophysiologist in higher resources centres (93% versus 50%, p < 0.05).

Conclusions:

The ARROW survey represents an initial assessment of the geographical characteristics in the field of Pediatric Electrophysiology. The next step is to make this “state of the art” more extensive to other aspects of the expertise. The relevance of collecting this data before the World Congress of Pediatric Cardiology and Cardiac Surgery (WCPCCS) in 2023 in Washington DC was emphasised in order to share the resulting information with the international community and set a plan of action to assist the development of arrhythmia services for children within developing regions of the world.

Keywords

Pediatric Electrophysiologydevices in childrenglobal surveyhealth systemshealth and economy
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 12 , December 2022 , pp. 1989 - 1993
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Copyright
© Bristol Royal Hospital for Children, 2022. Published by Cambridge University Press

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