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Readmissions After Ventricular Assist Device: Etiologies, Patterns, and Days Out of Hospital  Stephen J. Forest, MD, Ricardo Bello, MD, PhD, Patricia.

Published byDjaja Kartawijaya Modified over 6 years ago

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Presentation on theme: "Readmissions After Ventricular Assist Device: Etiologies, Patterns, and Days Out of Hospital  Stephen J. Forest, MD, Ricardo Bello, MD, PhD, Patricia."— Presentation transcript:

1 Readmissions After Ventricular Assist Device: Etiologies, Patterns, and Days Out of Hospital 
Stephen J. Forest, MD, Ricardo Bello, MD, PhD, Patricia Friedmann, MS, Danielle Casazza, RN, Cecilia Nucci, RN, Jooyoung J. Shin, MD, David D'Alessandro, MD, Gerin Stevens, MD, Daniel J. Goldstein, MD  The Annals of Thoracic Surgery  Volume 95, Issue 4, Pages (April 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Distribution of readmissions: 155 readmissions in total; 56 patients (79%) were admitted at least 1 time. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Total number of readmission days. Total days of readmission = 1,659 days. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Freedom from readmission with time from readmission after initial hospitalization. Median time to first readmission is 51 days. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Etiology of readmission by type of ventricular assist device. Other hemorrhage (3) included hematuria, hemarthrosis, and post-catheterization hemorrhage. Elective surgery (3) included carotid endarterectomy, excision of salivary gland, and herniorrhaphy. Other readmissions included mechanical fall (3), chemoradiation (3), altered mental status, anaphylaxis, diabetic ketoacidosis, encephalopathy, headache, hypokalemia, myocardial infarction, neck mass, osteoarthritis-knee pain, pancreatitis, peripherally inserted central venous catheter line malfunction, preoperative evaluation, rash, transient shortness of breath, and urinary retention. (ARF = acute renal failure; GI = gastrointestinal; N/V/D/Abd pain NOS = nausea/vomiting/diarrhea/abdominal pain not otherwise specified; TIA = transient ischemic attack; VAD = ventricular assist device.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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