کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8651161 | 1572056 | 2018 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
National Landscape of Unplanned 30-Day Readmissions in Patients With Left Ventricular Assist Device Implantation
ترجمه فارسی عنوان
چشم انداز ملی 30 روزه غیر قابل برنامه ریزی در بیماران مبتلا به ایمپلنت دستگاه کمک بطنی چپ
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
The number of patients with advanced heart failure receiving left ventricular assist device (LVAD) implantation has increased dramatically over the last decade. There are limited data available about the nationwide trends of complications leading to readmissions after implantation of contemporary devices. Patients who underwent LVAD implantation from January 2013 to December 2013 were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code 37.66 from the Healthcare Cost and Utilization Project's National Readmission Database. The top causes of unplanned 30-day readmission after LVAD implantation were determined. Survey logistic regression was used to analyze the significant predictors of readmission. In 2013, there were 2,235 patients with an LVAD implantation. Of them, 665 (29.7%) had at least 1 unplanned readmission within 30 days, out of which 289 (43.4%) occurred within 10 days after discharge. Implant complications (14.9%), congestive heart failure (11.7%), and gastrointestinal bleeding (8.4%) were the top 3 diagnoses for the first readmission and accounted for more than a third of all readmissions. Significant predictors of readmissions included a prolonged length of stay during the index admission, Medicare insurance, and discharge to short-term facility. In conclusion, despite increased experience with LVADs, unplanned readmissions within 30 days of implantation remain significantly high.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Cardiology - Volume 122, Issue 2, 15 July 2018, Pages 261-267
Journal: The American Journal of Cardiology - Volume 122, Issue 2, 15 July 2018, Pages 261-267
نویسندگان
Shanti MD, Priti MD, Sumeet MD, Aparna MD, Achint MD, Kinsuk MD, Ashish MD, Pratik MD, Kanika MD, Lili MD, Rocco MD, Dhruv MD, Shiv Kumar MD, Narender MD, Jignesh MD, Paul MD, Gregory MD, Jacob MD, Vijay MD,