Date: Monday, May 4, 2015
Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
Purpose: Caregiver support following mechanical circulatory support (MCS) implantation is key to good outcomes. The caregiver support can come from a spouse, parent, other relative, friends, or adult children. It is not known as to whether any type of caregiver has benefit over the other. Therefore we assessed our MCS patients and their 6- month outcomes based on the type of caregiver.
Methods: Patients were divided into those with caregivers who were spouses (n=39), parents (n=13), other relative (n=8), friend (n=4), and adult children (n=10). 6-Month readmission rates were assessed among all groups. Readmissions were further stratified into readmissions for stroke, gastrointestinal bleed, infection, and renal dysfunction and assessed among all groups.
Results: 6-Month readmissions following MCS placement was not significantly different among the 5 caregiver groups. Further division of readmissions by cause also yielded no significant difference between the caregiver groups. (See table)
|Endpoints||Spouse (n=39)||Parent (n=13)||Other family (n=8)||Friend (n=4)||Adult Child (n=10)||Log-Rank P-Value|
|6-Month Freedom from Readmission||54.4%||38.5%||75.0%||25.0%||68.6%||0.227|
|6-Month Freedom from Stroke Readmission||100.0||90.9%||100.0||100.0||85.7%||0.278|
|6-Month Freedom from GI Bleed Readmission||84.7%||100.0||100.0||100.0||100.0||0.837|
|6-Month Freedom from Infection Readmission||84.7%||76.9%||87.5%||75.0%||80.0%||0.112|
|6-Month Freedom from Renal Dysfunction Readmission||100.0||100.0||100.0||100.0||100.0||>0.999|
Conclusion: The specific type of caregiver support does not appear to differ in post-MCS implant readmissions and complications. Dedication and attentiveness to the patient appears paramount for good patient outcome.
To cite this abstract in AMA style:Henry H, Arabia F, Kittleson M, Czer L, Passano E, Yabuno J, Siddiqui S, Antifantis E, Chang D, Kobashigawa J. Type of Caregiver and Outcome After Mechanical Circulatory Support Placement [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/type-of-caregiver-and-outcome-after-mechanical-circulatory-support-placement/. Accessed February 16, 2020.
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