Palliative Care Interventions before Left Ventricular Assist Device Implantation in Both Bridge to Transplant and Destination Therapy

Journal of Palliative Medicine
Shunichi NakagawaCraig D Blinderman

Abstract

The optimal level of palliative care (PC) involvement in left ventricular assist device (LVAD) therapy has yet to be determined. Describe the feasibility of PC intervention to elucidate patients' goals and values in LVAD therapy in both destination therapy (DT) and bridge to transplant (BTT). Single center, prospective, single-arm study. All patients who received mandatory PC consultation, using a semistructured script, before LVAD implantation (PreVAD evaluation). We evaluated the feasibility of PreVAD evaluation and family awareness by analyzing responses and compared it between DT and BTT. We examined the association between withdrawal of LVAD therapy and family awareness in death cases. Between January 2014 and September 2016, 112 patients (DT, 75; BTT, 37) underwent PreVAD evaluation. All patients could express what makes their life meaningful, and 101 (92.0%) could discuss possible complications. Seventy-nine patients (70.5%) could articulate their unacceptable health state. There was no difference between both groups. Family awareness increased significantly from 33.0% to 58.0% after PreVAD evaluation (p < 0.01). Five LVADs were deactivated among the 12 death cases, and they were all from the family-aware group (71.2% vs...Continue Reading

References

Dec 26, 2001·JAMA : the Journal of the American Medical Association·D E MeierR S Morrison
Jan 17, 2002·The New England Journal of Medicine·E A RoseUNKNOWN Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) Study Group
Apr 17, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Walter F BaileLorenzo Cohen
Jun 19, 2003·Bioethics·Elisa J Gordon, Christopher K Daugherty
Apr 30, 2005·Journal of Palliative Medicine·C Puchalski, A L Romer
Jul 21, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Peter H DittoAngela Fagerlin
Sep 23, 2006·BMJ : British Medical Journal·Sara N Davison, Christy Simpson
Jul 5, 2007·Journal of the American Geriatrics Society·Terri R FriedLiana Fraenkel
Sep 1, 2007·The New England Journal of Medicine·Leslie W MillerUNKNOWN HeartMate II Clinical Investigators
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Alexi A WrightHolly G Prigerson
Nov 19, 2009·The New England Journal of Medicine·Mark S SlaughterUNKNOWN HeartMate II Investigators
Apr 24, 2010·Journal of the American College of Cardiology·Joseph G RogersUNKNOWN HeartMate II Investigators
May 18, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Rachel LampertUNKNOWN Hospice and Palliative Nurses Association
Jul 14, 2010·Journal of Pain and Symptom Management·Tami BornemanChristina M Puchalski
Aug 18, 2010·Annals of Internal Medicine·Rebecca L Sudore, Terri R Fried
Sep 8, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Sally BrushAbdallah G Kfoury
Mar 29, 2011·Hospital Practice·Keith M SwetzDaniel P Sulmasy
Jul 21, 2011·Circulation. Heart Failure·Nathan E GoldsteinDiane E Meier
May 24, 2012·Circulation·Keith D AaronsonUNKNOWN HeartWare Ventricular Assist Device (HVAD) Bridge to Transplant ADVANCE Trial Investigators
Jan 29, 2013·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
Jun 12, 2013·Journal of the American College of Cardiology·Clyde W YancyUNKNOWN American Heart Association Task Force on Practice Guidelines
Oct 8, 2013·Journal of Pain and Symptom Management·Keith M SwetzMolly A Feely
Nov 28, 2013·JAMA Internal Medicine·Daniel D Matlock, John M Mandrola
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
Mar 22, 2016·JAMA Internal Medicine·Colleen K McIlvennanDaniel D Matlock

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Citations

Jun 7, 2018·Journal of Palliative Medicine·Shunichi NakagawaCraig D Blinderman
Nov 21, 2018·Journal of Palliative Medicine·Shunichi NakagawaCraig D Blinderman
Aug 11, 2019·Journal of the American Geriatrics Society·Ersilia M DeFilippisVeli K Topkara
Dec 6, 2017·Current Opinion in Supportive and Palliative Care·Patricia H StrachanLin Li
Dec 6, 2017·Current Opinion in Supportive and Palliative Care·Daisy J A JanssenMartijn A Spruit
May 10, 2020·Anesthesia and Analgesia·Rita C Crooms, Laura P Gelfman
May 7, 2020·Current Opinion in Anaesthesiology·Mgbechi U Erondu, Daniel P Mahoney
Feb 23, 2020·The Journal of Cardiovascular Nursing·Michela LucianiDavide Ausili
Mar 23, 2020·Heart & Lung : the Journal of Critical Care·Jessica Harman Thompson, Debra Moser
Aug 25, 2020·Journal of Pain and Symptom Management·Shunichi NakagawaKenneth M Prager

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Software Mentioned

PreVAD
Excel

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