Multidisciplinary approach decreases length of stay and reduces cost for ventricular assist device therapy

a Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, 600 Highland Avenue, WI 53792, USA b Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA *Corresponding au...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2009-01, Vol.8 (1), p.84-88
Main Authors: Murray, Margaret A, Osaki, Satoru, Edwards, Niloo M, Johnson, Maryl R, Bobadilla, Joseph L, Gordon, Elizabeth A, Sanderfoot, Mark, Kohmoto, Takushi
Format: Article
Language:English
Subjects:
Adult
Cost Savings
Female
Heart Failure - economics
Heart Failure - therapy
Heart-Assist Devices - economics
Hospital Costs
Humans
Length of Stay - economics
Male
Middle Aged
Patient Care Team - economics
Patient Discharge - economics
Patient Readmission - economics
Postoperative Care - economics
Program Evaluation
Retrospective Studies
Treatment Outcome
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Summary:a Department of Surgery, Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, 600 Highland Avenue, WI 53792, USA b Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA *Corresponding author. Tel.: +608-262-3858; fax: +608-263-0547. E-mail address : kohmoto{at}surgery.wisc.edu (T. Kohmoto). High implantation costs and long postoperative length of stay (LOS) in debilitated patients complicate ventricular assist device (VAD) therapy. Between July 2000 and February 2005, 30 patients received a VAD at our institution. Of those, 20 patients were successfully discharged from the hospital with VADs. In August 2003, a multidisciplinary team was formed consisting of all services for VAD patients to replace a single-discipline (cardiac surgery) system. This team evaluated potential VAD candidates and identified optimal timing for implantation. These 20 VAD patients were divided into two groups according to the initiation of multidisciplinary team; the traditional group ( n =7, July 2000–July 2003) and the multidisciplinary group ( n =13, August 2003–February 2005). Patient demographics were not different. The LOS decreased from 61 to 15 days ( P
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2008.187377