National Trends in Utilization, Mortality, Complications, and Cost of Care After Left Ventricular Assist Device Implantation From 2005 to 2011  Neeraj.

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Presentation transcript:

National Trends in Utilization, Mortality, Complications, and Cost of Care After Left Ventricular Assist Device Implantation From 2005 to 2011  Neeraj Shah, MD, MPH, Vratika Agarwal, MD, Nileshkumar Patel, MD, Abhishek Deshmukh, MD, Ankit Chothani, MD, Jalaj Garg, MD, Apurva Badheka, MD, Matthew Martinez, MD, Nauman Islam, MD, Ronald Freudenberger, MD  The Annals of Thoracic Surgery  Volume 101, Issue 4, Pages 1477-1484 (April 2016) DOI: 10.1016/j.athoracsur.2015.09.013 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Trends of annual left ventricular assist device utilization (blue) and in-hospital mortality (red) after implantation from 2005 to 2011 (p < 0.001 for mortality trend). The Annals of Thoracic Surgery 2016 101, 1477-1484DOI: (10.1016/j.athoracsur.2015.09.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Incidence of postoperative complications (cx) after left ventricular assist device implantation in the (A) pulsatile flow era from 2005 to 2007 and (B) in the continuous flow era from 2008 to 2011. (AKI = acute kidney injury; DVT = deep vein thrombosis; PE = pulmonary embolism; TIA = transient ischemic attack.) The Annals of Thoracic Surgery 2016 101, 1477-1484DOI: (10.1016/j.athoracsur.2015.09.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Trends of disposition to home (blue line), to nursing home or other facility (red line), or death (green line) after left ventricular assist device implantation from 2005 to 2011 (p < 0.01 for all trends). The Annals of Thoracic Surgery 2016 101, 1477-1484DOI: (10.1016/j.athoracsur.2015.09.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Trend of mean cost of hospitalization for left ventricular assist device implantation (in United States dollars) from 2005 to 2011 (p = 0.011 for overall trend, p = 0.135 for trend from 2008 to 2011). The Annals of Thoracic Surgery 2016 101, 1477-1484DOI: (10.1016/j.athoracsur.2015.09.013) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions