Hospital Complications and Causes of 90-Day Readmissions After Implantation of Left Ventricular Assist Devices
| Autor: | Byomesh Tripathi, Dhrubajyoti Bandyopadhyay, Mihir Dave, Shilpkumar Arora, Saurav Chatterjee, Nileshkumar J. Patel, Kamia Thakur, Alexander C. Egbe, Vincent M. Figueredo, Radha Gopalan, Ghanshyam Palamaner Subash Shantha, Sejal Savani, Mahek Shah, Abhishek Deshmukh, Varun Kumar, Sopan Lahewala, Purnima Sharma, Nimesh K. Patel |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Patient Readmission 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Internal medicine medicine Humans 030212 general & internal medicine Major complication Retrospective Studies Heart Failure business.industry Incidence Incidence (epidemiology) Retrospective cohort study Odds ratio Length of Stay Middle Aged medicine.disease United States Confidence interval Treatment Outcome Heart failure Emergency medicine Cardiology Etiology Female Heart-Assist Devices Cardiology and Cardiovascular Medicine business Major bleeding Follow-Up Studies |
| Zdroj: | The American Journal of Cardiology. 122:420-430 |
| ISSN: | 0002-9149 |
| Popis: | Left ventricular assist devices (LVADs) have emerged as an attractive option in patients with advance heart failure. Nationwide readmission database 2013 to 2014 was utilized to identify LVAD recipients using ICD-9 procedure code 37.66. The primary outcome was 90-day readmission. Readmission causes were identified using ICD-9 codes in primary diagnosis field. The secondary outcomes were LVAD associated with hospital complications. Hierarchic 2-level logistic models were used to evaluate study outcomes. We identified 4,693 LVAD recipients (mean age 57 years, 76.2% males). Of which 53.9% were readmitted in first 90 days of discharge. Cardiac causes (33.3%), bleeding (21.3%), and infections (12.4%) were leading etiologies of 90-day readmissions. Significant predictors (odds ratio, 95% confidence interval, p value) of readmission were disposition to nursing facilities (1.33, 1.09 to 1.63, p = 0.01) and longer length of stay (1.01, 1.00 to 1.01, p |
| Databáze: | OpenAIRE |
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