Readmissions After Ventricular Assist Device: Etiologies, Patterns, and Days Out of Hospital

摘要: Background Scarce literature exists describing the patterns of readmission after continuous flow left ventricular assist device (CF-LVAD) implantation. These carry significant cost and quality life implications. We sought to describe etiology pattern among patients receiving CF-LVADs. Methods Frequency, reason, urgency, duration as well freedom from were examined in a retrospective review our institutional experience. As an indirect means life, ratio days out hospital (OOH)/days alive with was calculated. Results From 2006 2011, 71 adult implanted CF included. Indication for implantation bridge transplant (n = 19), potential 25), or destination therapy 27). Length support averaged 359 days. Total time 69.7 patient years. One hundred fifty-five readmissions accounted total 1,659 Fifty-six readmitted during study period. Median first 48 (range 2 663 days). length stay 5 The single most common gastrointestinal bleeding accounting 14% readmissions. Readmissions urgent (87%), elective (10%), life-threatening (3%). Patients on average enjoyed 92% their OOH. Conclusions undergoing CF-LVAD are often within 6 months discharge. tend be short reason is bleeding. Importantly, following discharge implant procedure, 51 spent at least 90%