Complications of LVAD utilization in older adults

•There is an increasing trend of LVAD implantation in older adults from 2005-2014.•Delirium was more common in older adult LVAD recipients compared to younger adults.•A delirium diagnosis decreased odds of discharge to home in older patients. Yearly rate and mean patient age of left ventricular assi...

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Bibliographic Details
Published in:Heart & lung 2021-01, Vol.50 (1), p.75-79
Main Authors: Gazda, Alexander J., Kwak, Min Ji, Akkanti, Bindu, Nathan, Sriram, Kumar, Sachin, de Armas, Ismael Salas, Baer, Patrick, Patel, Bela, Kar, Biswajit, Gregoric, Igor D.
Format: Article
Language:English
Subjects:
Advanced Heart Failure
Aged
Delirium
Heart Failure - epidemiology
Heart Failure - surgery
Heart-Assist Devices - adverse effects
Humans
Left Ventricular Assist Device
Mechanical Support Device
Older Adults
Postoperative Complications - epidemiology
Prosthesis Implantation
Retrospective Studies
Treatment Outcome
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Summary:•There is an increasing trend of LVAD implantation in older adults from 2005-2014.•Delirium was more common in older adult LVAD recipients compared to younger adults.•A delirium diagnosis decreased odds of discharge to home in older patients. Yearly rate and mean patient age of left ventricular assist device (LVAD) implantation increased from 2009 to 2014. Data are lacking regarding trends of LVAD implantation in older adults. To describe the trends of LVAD implantation in older adults and the clinical impact of associated procedural complications. We retrospectively analyzed the National Inpatient Sample from 2005 to 2014, calculated the percentage of older adults (>65 years of age) among those who underwent LVAD implantation, and compared their clinical characteristics. Primary outcomes were in-hospital mortality and discharge home. In total, 4491 patients were included. The percentage of older adults among those receiving LVAD increased from 12.53% to 31.65% (p
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2020.07.009