{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:50:45Z","timestamp":1747187445687,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T00:00:00Z","timestamp":1550448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Seat belt use is the single most effective means of reducing fatal injuries in road traffic accidents. The presence of a cardiac implantable electronic device (CIED) might influence seat belt\u2010related behaviors due to the physical proximity of the seat belt and left subclavian area in which the device is usually implanted. Understanding the underlying mechanisms of improper seat belt use may improve safety of these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a prospective study using a structured questionnaire with 120 CIED recipients (age, 63.9 \u00b1 10.9 years) attending a pacing outpatient clinic. All study participants were active drivers and predominantly male. The majority of patients (79%) had undergone high\u2010energy device implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that 18% of study participants do not fasten seat belts on a regular basis or use the seat belt in an atypical fashion (such as under the armpit). Moderate or high level of discomfort from the interaction between seat belt and CIED was present in 27%, while more than half (51%) were afraid of seat belt\u2010induced CIED damage. In multifactorial analysis, we found the following independent predictors of improper seat belt use: (1) at least moderate level of discomfort at the CIED site (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02); (2) fear of CIED damage (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.009); and (3) irregular seat belt use prior to CIED implantation (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.037).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improper seat belt\u2010related behaviors are common in CIED recipients. They arise from previous habits and from CIED\u2010related physical and psychological factors. Patients\u2019 education regarding the importance and safety of proper seat belt use is a priority.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13617","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T04:33:51Z","timestamp":1549859631000},"page":"400-406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Seat belts\u2010related behaviors in car drivers with cardiac implantable electronic devices"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8148-071X","authenticated-orcid":false,"given":"Piotr","family":"Niewinski","sequence":"first","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dariusz","family":"Jagielski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krystian","family":"Josiak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof","family":"Nowak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartosz","family":"Biel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislaw","family":"Tubek","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Walczak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iwona","family":"Szemplinska","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Siennicka","sequence":"additional","affiliation":[{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"},{"name":"Department of Physiology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waldemar","family":"Banasiak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Ponikowski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre for Heart Disease 4th Military Hospital  Wroclaw Poland"},{"name":"Department of Heart Diseases Wroclaw Medical University  Wroclaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70166-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2015.30.12.1881"},{"key":"e_1_2_8_4_1","first-page":"470","article-title":"Seatbelt use and traumatic brain injury in Taiwan: A 16\u2010year study","volume":"44","author":"Kuo C\u2010Y","year":"2015","journal-title":"Iran J Public Health"},{"key":"e_1_2_8_5_1","unstructured":"European Commission\u2014European road safety action programme. Mid\u2010term review\u2014COM(2006) 74 22.2.2006."},{"key":"e_1_2_8_6_1","unstructured":"National Center for Statistics and Analysis (2017 October).Lives saved in 2016 by restraint use and minimum\u2010drinking\u2010age laws (Traffic Safety Facts Crash Stats. Report No. DOT HS 812 454). Washington DC: National Highway Traffic Safety Administration."},{"key":"e_1_2_8_7_1","unstructured":"National Center for Statistics and Analysis(2018 June [revised]). Seat Belt Use in 2017\u2014Use Rates in the States and Territories (Traffic Safety Facts Crash Stats. Report No. DOT HS 812 546). Washington DC: National Highway Traffic Safety Administration."},{"key":"e_1_2_8_8_1","unstructured":"Directive 2003\/20\/EC of the European Parliament and of the Council of 8 April 2003 amending Council Directive 91\/671\/EEC on the approximation of the laws of the Member States relating to the compulsory use of safety belts in vehicles of less than 3.5 tonn."},{"key":"e_1_2_8_9_1","first-page":"203","article-title":"Factors affecting ejection risk in rollover crashes","volume":"56","author":"Funk JR","year":"2012","journal-title":"Ann Adv Automot Med"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.61.714.305"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492309354388"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1997.tb06187.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198707000-00008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1999.tb00387.x"},{"key":"e_1_2_8_15_1","first-page":"496","article-title":"An analysis of factors associated with seat belt use: Prevention opportunities for the medical community","volume":"93","author":"Baker DR","year":"2000","journal-title":"J Okla State Med Assoc"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2014.999856"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2015.1062888"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.201590"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960110814"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.02.014"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2009.02173.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq154"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eup112"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445501253005"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797617738814"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6617a1"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.13617","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13617","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.13617","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T18:46:35Z","timestamp":1694371595000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.13617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,18]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/pace.13617"],"URL":"https:\/\/doi.org\/10.1111\/pace.13617","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"type":"print","value":"0147-8389"},{"type":"electronic","value":"1540-8159"}],"subject":[],"published":{"date-parts":[[2019,2,18]]},"assertion":[{"value":"2018-12-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}