| Autor: |
Christopher Lee, Quinn Denfeld, Doc Pham, Mary Norine Walsh, C. Murks, Bernice Ruo, Peter Cummings, Carrie Eshelbrenner, Katy Wortman, David Cella, Jeffrey J. Teuteberg, Michael S. Kiernan, Kathleen L. Grady, James W. Long, Sarah Buono, Larry A. Allen, Michael A. Kallen, Eric Adler, Clyde W. Yancy, Jonathan D. Rich, Liviu Klein, David G. Beiser, Colleen K. McIlvennan, JoAnn Lindenfeld, Josef Stehlik, Elizabeth A. Hahn |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Journal of Cardiac Failure. 26:S130-S131 |
| ISSN: |
1071-9164 |
| Popis: |
Objectives Patient satisfaction with having a left ventricular assist device (LVAD) as a bridge to transplantation (BTT) or destination therapy (DT) may change over time early after surgery, as patients adjust to life on a device. We examined satisfaction at 2 time points early after surgery. Methods We evaluated patient self-report data at 3 and 6 months (mos) post implant at 12 U.S. sites (2016-2020). Measures included Satisfaction with Treatment (10 items, [FACIT-TS-G, modified]), VAD Team Communication (6 items, 0 [worst] - 18 [best] communication as wanted, [FACIT-TS-PS, modified]), and Being Bothered by VAD Self-care and Limitations (17 items, 1 [not] - 5 [very much] bothered, [new items]). Bowker's symmetry test was used to compare change in satisfaction for the 10 satisfaction items. Mixed effects models were estimated to assess change in VAD team communication and bother, assuming a missing at random mechanism. Results Patients (n=115) were primarily male (77%) and non-Hispanic White (65%); mean age(SD)=55 ( 12.5) years; 50% had an implant strategy of DT. Overall, no differences were detected regarding satisfaction with having a VAD between 3 and 6 mos after implant. 61% of patients (n=71) were satisfied (for the most part or completely) at 3 mos; of these, 63 (89%) responded similarly at 6 mos. Satisfaction with VAD team communication was high (least-squares means at 3 and 6 mos: 12.3 and 12.8) and being bothered by VAD self-care and limitations was low to moderate (least-squares means at 3 and 6 mos: 2.3 and 2.4), with no change over time (p>0.40). BTT and DT patients reported similar bother (p=0.21), but BTT patient satisfaction with communication was marginally higher than DT patients (p=0.05). Conclusions Patients were quite satisfied with having a VAD early after implant. Patients were also satisfied with communication from the VAD team and reported moderate or fewer hassles with having a VAD, which did not differ by implant strategy. Understanding satisfaction with a VAD may guide patient support early post implant. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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