Abstract 12756: 11 year Trends and Utilization Patterns of Cardiac Implantable Electronic Devices in Patients Diagnosed With Sick Sinus Syndrome

Background: CIEDs (cardiac implantable electronic devices) are commonly used for managing sick sinus syndrome (SSS). Hypothesis: Compare features of SSS patients (pts) who did and did not receive CIED. Methods: Pts were identified from the National Inpatient Sample dataset (2003-13). Included pts were ≥18, had a primary diagnosis of sinus node dysfunction and atrial arrhythmia (hence SSS). Pts who died, transferred out or had prior CIED were excluded. Included pts were then stratified by implantation of a CIED. Data regarding SSS and weighted multivariable model of factors associated with CIED implantation are presented. Results: Over 11 years, 421,535 pts were diagnosed with SSS (mean annual incidence of 38,321 ± 4,258) and the trend for SSS hospitalization fell 19% (p < 0.001). CIED were implanted in 353,247 pts (83.8%) and the annual trend of CIED use was decreasing (p < 0.001). Of 39 variables analyzed, the attached forest plot shows only those variables that were either associated with a lower likeli...