Caregiver status and outcomes after durable left ventricular assist device implantation

Michael Koeckert, Patrick Vining, Alex Reyentovich, Stuart D. Katz, Abelardo DeAnda, Stefanie Philipson, Leora B. Balsam

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objectives To determine the relationship between caregiver status and outcomes after durable left ventricular assist device (LVAD) implantation. Background The absence of a caregiver is a relative contraindication to durable LVAD support. Methods Forty-three patients that underwent primary LVAD implantation were divided into three groups: those with caregivers that retained their roles for the duration of LVAD support (CG group), those with caregivers that resigned their roles (CG-QUIT group), and those implanted without an assigned caregiver (No-CG group). Group-specific characteristics and post-implant outcomes were compared. Results In the CG-QUIT group, caregivers did not live in the same home (0.0% vs. 80.6% of CG group) and none were spouses (0.0% vs. 64.5% for CG group). Thirty-day readmission rate was highest in the CG-QUIT group (83.3% vs. 25.8% in CG group and 16.7% in No-CG group). Conclusions Caregiver relationships were more likely to be maintained for the duration of LVAD support when the caregiver was a spouse and resided in the same home as the patient. Carefully selected patients implanted without a designated caregiver had comparable outcomes to those who retained their original caregiver.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalHeart and Lung: Journal of Acute and Critical Care
Volume46
Issue number2
DOIs
StatePublished - Mar 1 2017

    Fingerprint

Keywords

  • Caregiver
  • Heart failure
  • Left ventricular assist device
  • Mechanical circulatory support
  • Outcomes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this