Adverse-Event Free Survival, Hospitalizations, and Mortality in Left Ventricular Assist Device Recipients: A Rural-Urban Cohort Comparison.

The Journal of Cardiovascular Nursing
Windy AlonsoKevin Kupzyk

Abstract

The number of individuals with advanced heart failure (HF) receiving left ventricular assist devices (LVADs) is growing. Postimplantation LVAD recipients return home to both rural and urban locations. The impact of rural or urban living on postimplantation outcomes has not been adequately explored. This cohort study examined adverse event-free survival, hospitalization-free survival, and all-cause mortality between rural and urban LVAD recipients in the first 2 years after implantation. Data from LVAD recipients (N = 141) implanted at a single center in the northeastern United States were analyzed. Recipients of LVAD were designated as rural or urban by county of residence. Adverse events, hospitalizations, and survival time were examined using multivariate Cox proportional hazards models. Thirty-seven percent of LVAD recipients in the cohort were rural. Two-thirds of all LVAD recipients experienced at least 1 adverse event (96/141, 68.1%). Although more urban recipients experienced adverse events, including death, rural versus urban models of both adverse events and survival were nonsignificant (adverse events: log-rank = 1.18, P = .28; hazard ratio [HR], 0.96; 95% confidence interval [CI], 0.57-1.63; P = .89; survival: log-ra...Continue Reading

References

Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Oct 18, 2008·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
Dec 18, 2008·Source Code for Biology and Medicine·Zoran BursacDavid W Hosmer
Jun 22, 2010·Heart & Lung : the Journal of Critical Care·Jia-Rong WuTerry A Lennie
Dec 22, 2010·Journal of Health and Social Behavior·Jo C PhelanParisa Tehranifar
Jun 26, 2013·Current Heart Failure Reports·Lavanya Bellumkonda, Daniel Jacoby
Oct 4, 2013·The Journal of Cardiovascular Nursing·Kristen A SetharesBarbara Riegel
Jan 15, 2014·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinMarissa A Miller
Oct 9, 2014·Circulation. Heart Failure·Colleen K McIlvennanLarry A Allen
Jan 15, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Jason N KatzJames K Kirklin
Mar 21, 2015·Methodist DeBakey Cardiovascular Journal·Jerry D EstepBrian A Bruckner
Jun 27, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Kathleen L GradyClyde Yancy
Nov 2, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
Dec 19, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinLynne W Stevenson
Apr 14, 2016·Circulation. Heart Failure·Eileen M Hsich
Jul 3, 2016·Heart Failure Clinics·Sunit-Preet Chaudhry, Garrick C Stewart
Apr 1, 2017·Journal of the American College of Cardiology·Jennifer A Cowger
Jun 24, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·E D GarrardC Wilson
Aug 9, 2017·Cardiac Failure Review·Gianluigi Savarese, Lars H Lund
Dec 24, 2017·Internal and Emergency Medicine·Christopher R TainterRaghu Seethala
Apr 11, 2018·BMC Health Services Research·Robert HeroldNeeltje van den Berg

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