Driving restrictions for Dutch patients with an implantable cardioverter defibrillator

Compliance and associated factors

N. Jongejan, I.A.L. Timmermans, J. Elders, K. Meijer, M. Meine, P. A. Doevendans, H. Versteeg, A. E. Tuinenburg

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background:
Dutch patients with an implantable cardioverter defibrillator (ICD) are restricted from driving for two months after implantation or shocks. This requires significant lifestyle adjustments and is one of the primary concerns of ICD
patients. Previous studies indicated that compliance with the driving restrictions is poor, but insight in socio-demographic, clinical and psychological factors associated with compliance is limited. Hence, this study aimed to explore compliance with the driving restrictions and associated factors in a large sample of Dutch ICD patients.
Method:
Dutch ICD patients (N = 313) completed an elaborative set of questionnaires at time of implantation and at four months after implantation, assessing socio-demographic, psychological and driving-related characteristics. Clinical data
were collected from the patients’ medical records.
Results:
A substantial subgroup (28%) of the patient sample (median age 64 (interquartile range = 55–71), 81% male) reported to have been noncompliant with the driving restrictions. Univariate analysis indicated that noncompliant patients more often considered refusing the ICD due to the restrictions, compared to compliant patients (19% versus 10%, p = 0.02). Multivariate analysis showed that the feeling of understanding the reason behind the driving restrictions was associated with better compliance (odds ratio = 2.16, 95% confidence interval 1.02–4.56, p = 0.04). No other socio-demographic, clinical, psychological or driving-related factors were associated with compliance.
Conclusion:
A large number of ICD patients does not comply with the driving restrictions after implantation. This study emphasised the importance of the patient’s feeling of understanding the reason behind the restrictions
Original languageEnglish
Pages (from-to)69–75
JournalNetherlands Heart Journal
Volume26
Issue number2
DOIs
Publication statusPublished - 2018

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Implantable Defibrillators
Compliance
Medical Records
Multivariate Analysis
Odds Ratio
Confidence Intervals

Keywords

  • ANXIETY
  • Compliance
  • Driving restrictions
  • Implantable cardioverter defibrillator
  • RECOMMENDATIONS
  • VALIDITY

Cite this

Jongejan, N. ; Timmermans, I.A.L. ; Elders, J. ; Meijer, K. ; Meine, M. ; Doevendans, P. A. ; Versteeg, H. ; Tuinenburg, A. E. / Driving restrictions for Dutch patients with an implantable cardioverter defibrillator : Compliance and associated factors. In: Netherlands Heart Journal. 2018 ; Vol. 26, No. 2. pp. 69–75.
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title = "Driving restrictions for Dutch patients with an implantable cardioverter defibrillator: Compliance and associated factors",
abstract = "Background:Dutch patients with an implantable cardioverter defibrillator (ICD) are restricted from driving for two months after implantation or shocks. This requires significant lifestyle adjustments and is one of the primary concerns of ICDpatients. Previous studies indicated that compliance with the driving restrictions is poor, but insight in socio-demographic, clinical and psychological factors associated with compliance is limited. Hence, this study aimed to explore compliance with the driving restrictions and associated factors in a large sample of Dutch ICD patients.Method:Dutch ICD patients (N = 313) completed an elaborative set of questionnaires at time of implantation and at four months after implantation, assessing socio-demographic, psychological and driving-related characteristics. Clinical datawere collected from the patients’ medical records.Results:A substantial subgroup (28{\%}) of the patient sample (median age 64 (interquartile range = 55–71), 81{\%} male) reported to have been noncompliant with the driving restrictions. Univariate analysis indicated that noncompliant patients more often considered refusing the ICD due to the restrictions, compared to compliant patients (19{\%} versus 10{\%}, p = 0.02). Multivariate analysis showed that the feeling of understanding the reason behind the driving restrictions was associated with better compliance (odds ratio = 2.16, 95{\%} confidence interval 1.02–4.56, p = 0.04). No other socio-demographic, clinical, psychological or driving-related factors were associated with compliance.Conclusion:A large number of ICD patients does not comply with the driving restrictions after implantation. This study emphasised the importance of the patient’s feeling of understanding the reason behind the restrictions",
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Driving restrictions for Dutch patients with an implantable cardioverter defibrillator : Compliance and associated factors. / Jongejan, N.; Timmermans, I.A.L.; Elders, J.; Meijer, K.; Meine, M.; Doevendans, P. A.; Versteeg, H.; Tuinenburg, A. E.

In: Netherlands Heart Journal, Vol. 26, No. 2, 2018, p. 69–75.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Driving restrictions for Dutch patients with an implantable cardioverter defibrillator

T2 - Compliance and associated factors

AU - Jongejan, N.

AU - Timmermans, I.A.L.

AU - Elders, J.

AU - Meijer, K.

AU - Meine, M.

AU - Doevendans, P. A.

AU - Versteeg, H.

AU - Tuinenburg, A. E.

PY - 2018

Y1 - 2018

N2 - Background:Dutch patients with an implantable cardioverter defibrillator (ICD) are restricted from driving for two months after implantation or shocks. This requires significant lifestyle adjustments and is one of the primary concerns of ICDpatients. Previous studies indicated that compliance with the driving restrictions is poor, but insight in socio-demographic, clinical and psychological factors associated with compliance is limited. Hence, this study aimed to explore compliance with the driving restrictions and associated factors in a large sample of Dutch ICD patients.Method:Dutch ICD patients (N = 313) completed an elaborative set of questionnaires at time of implantation and at four months after implantation, assessing socio-demographic, psychological and driving-related characteristics. Clinical datawere collected from the patients’ medical records.Results:A substantial subgroup (28%) of the patient sample (median age 64 (interquartile range = 55–71), 81% male) reported to have been noncompliant with the driving restrictions. Univariate analysis indicated that noncompliant patients more often considered refusing the ICD due to the restrictions, compared to compliant patients (19% versus 10%, p = 0.02). Multivariate analysis showed that the feeling of understanding the reason behind the driving restrictions was associated with better compliance (odds ratio = 2.16, 95% confidence interval 1.02–4.56, p = 0.04). No other socio-demographic, clinical, psychological or driving-related factors were associated with compliance.Conclusion:A large number of ICD patients does not comply with the driving restrictions after implantation. This study emphasised the importance of the patient’s feeling of understanding the reason behind the restrictions

AB - Background:Dutch patients with an implantable cardioverter defibrillator (ICD) are restricted from driving for two months after implantation or shocks. This requires significant lifestyle adjustments and is one of the primary concerns of ICDpatients. Previous studies indicated that compliance with the driving restrictions is poor, but insight in socio-demographic, clinical and psychological factors associated with compliance is limited. Hence, this study aimed to explore compliance with the driving restrictions and associated factors in a large sample of Dutch ICD patients.Method:Dutch ICD patients (N = 313) completed an elaborative set of questionnaires at time of implantation and at four months after implantation, assessing socio-demographic, psychological and driving-related characteristics. Clinical datawere collected from the patients’ medical records.Results:A substantial subgroup (28%) of the patient sample (median age 64 (interquartile range = 55–71), 81% male) reported to have been noncompliant with the driving restrictions. Univariate analysis indicated that noncompliant patients more often considered refusing the ICD due to the restrictions, compared to compliant patients (19% versus 10%, p = 0.02). Multivariate analysis showed that the feeling of understanding the reason behind the driving restrictions was associated with better compliance (odds ratio = 2.16, 95% confidence interval 1.02–4.56, p = 0.04). No other socio-demographic, clinical, psychological or driving-related factors were associated with compliance.Conclusion:A large number of ICD patients does not comply with the driving restrictions after implantation. This study emphasised the importance of the patient’s feeling of understanding the reason behind the restrictions

KW - ANXIETY

KW - Compliance

KW - Driving restrictions

KW - Implantable cardioverter defibrillator

KW - RECOMMENDATIONS

KW - VALIDITY

U2 - 10.1007/s12471-017-1067-z

DO - 10.1007/s12471-017-1067-z

M3 - Article

VL - 26

SP - 69

EP - 75

JO - Netherlands Heart Journal

JF - Netherlands Heart Journal

SN - 1568-5888

IS - 2

ER -