Readmissions after continuous flow left ventricular assist device implantation
| Autor: | Kan Nawata, Mariko Nemoto, Yasuhiro Hoshino, Mitsutoshi Kimura, Masaru Hatano, Haruo Yamauchi, Yukie Kagami, Osamu Kinoshita, Eisuke Amiya, Minoru Ono, Koichi Kashiwa, Miyoko Endo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Biomedical Engineering Medicine (miscellaneous) 030204 cardiovascular system & hematology Infections Patient Readmission Biomaterials 03 medical and health sciences 0302 clinical medicine Hospital discharge medicine Humans Stroke Retrospective Studies Heart Failure Continuous flow business.industry Medical record Length of Stay Middle Aged medicine.disease Surgery Cardiac surgery 030228 respiratory system Heart failure Ventricular assist device Etiology Quality of Life Female Heart-Assist Devices Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs. 20(4) |
| ISSN: | 1619-0904 |
| Popis: | Continuous flow left ventricular assist device (CF-LVAD) therapy has improved the survival of patients with advanced heart failure. However, the readmission rate of CF-LVAD patients is still relatively high. A total of 90 patients who received CF-LVADs between April 2011 and March 2016 at our institute and were discharged home were analyzed retrospectively. They were followed up through March 2017. Clinical data, including frequency, length and etiology of readmission, were obtained from medical records. The mean observation period after initial discharge was 713 ± 322 days. In total, 73 patients (81%) had 236 readmissions, 214 unplanned and 22 planned. The overall and unplanned readmission rates were 1.34 and 1.22 per patient-year, respectively. The rate of freedom from unplanned first readmission at 1 year after initial discharge was 39%. The median interval between the previous hospital discharge and first and second readmissions was 311 and 213 days, respectively (log-rank test, p = 0.117). The rate of readmission after more than three readmissions was significantly higher than that of first or second readmission (log-rank test, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink