Stofmeel M A, Kelder J C, van Hemel N M, Hooijschuur C A, Dijk W A, Grobbee D E
St. Antonius Ziekenhuis, afd. Cardiologie, Koekoekslaan 1, 3435 CM Nieuwegein.
Ned Tijdschr Geneeskd. 2001 Jun 30;145(26):1254-8.
To carry out a survey of the numbers of patients in the Netherlands who received a pacemaker in 1984-1997 and the types of pacemaker.
Retrospective, descriptive.
Information on pacemaker patients and pacemakers in the Netherlands during the years 1984-1997 was obtained from the Dutch Pacemaker Patient Registration organisation and those in 15 other West-European countries from the European Working Group on Cardiac Pacing. Both organisations use the European Pacemaker Identification Card. Demographic information was collected via Statistics Netherlands.
In the Netherlands, 23 and 28 primo-implantations/100,000 inhabitants were carried out in 1984 and 1997 respectively. The increase was primarily due to a higher number of implants in people > 65 years of age. The 1997 implant figures were lower than the average in Western Europe (34/100,000). In 1997 there was no difference in gender, mean age at the time of first implant, indications and aetiology between the Netherlands and Western Europe. With respect to the choice of type of pacemaker implanted--VVI(R) or DDD(R)-in Western Europe, the Netherlands lay in the middle. Between 1984 and 1997, the number of Dutch centres with 1-25 implants/year decreased while the number with 51-130 implants/year increased.
In 1997 the number of primo-implantations at Dutch centres increased in comparison with 1984, but less than the West European average. Implants were increasingly performed in high-volume centres.
对1984年至1997年期间荷兰接受起搏器植入的患者数量及起搏器类型进行调查。
回顾性、描述性研究。
1984年至1997年期间荷兰起搏器患者及起搏器的信息来自荷兰起搏器患者注册机构，其他15个西欧国家的相关信息来自欧洲心脏起搏工作组。两个机构均使用欧洲起搏器识别卡。人口统计学信息通过荷兰统计局收集。
在荷兰，1984年和1997年首次植入起搏器的比例分别为每10万居民中有23例和28例。增长主要归因于65岁以上人群植入数量的增加。1997年的植入数字低于西欧平均水平（每10万居民中有34例）。1997年，荷兰与西欧在性别、首次植入时的平均年龄、适应证及病因方面无差异。在西欧植入起搏器类型（VVI(R)或DDD(R)）的选择上，荷兰处于中等水平。1984年至1997年期间，每年植入1至25例起搏器的荷兰中心数量减少，而每年植入51至130例起搏器的中心数量增加。
1997年，荷兰各中心首次植入起搏器的数量与1984年相比有所增加，但低于西欧平均水平。植入手术越来越多地在高容量中心进行。
