Incidence and impact of ischemic and hemorrhagic stroke after left ventricular assist device implantation: A nationwide study.
Hemorrhagic stroke
In-hospital mortality
Ischemic stroke
LVAD
Journal
Indian heart journal
ISSN: 2213-3763
Titre abrégé: Indian Heart J
Pays: India
ID NLM: 0374675
Informations de publication
Date de publication:
Historique:
received:
22
06
2019
accepted:
03
09
2019
entrez:
10
2
2020
pubmed:
10
2
2020
medline:
7
8
2020
Statut:
ppublish
Résumé
Despite noteworthy advancements in the design of the left ventricular assist device (LVAD), stroke remains one of the most significant adverse events. This study aims to analyze the incidence and short-term outcomes associated with stroke (ischemic and hemorrhagic) after implantation of LVAD. Study cohorts were identified from the National Inpatient Sample database from January 2009 to September 2015 using the International Classification of Diseases, Ninth Revision codes. The primary outcome was an incidence of stroke, and secondary outcomes were the associated mortality, length of stay, and cost of hospitalization. A multivariate logistic regression analysis was performed to analyze adjusted in-hospital mortality. Use of LVADs increased significantly from 2009 to 2014 (2278 in 2009 to 3730 in 2014 [P The incidence of stroke was ~7% after LVAD placement, and it was associated with significantly higher in-hospital mortality and resource utilization.
Sections du résumé
BACKGROUND
BACKGROUND
Despite noteworthy advancements in the design of the left ventricular assist device (LVAD), stroke remains one of the most significant adverse events. This study aims to analyze the incidence and short-term outcomes associated with stroke (ischemic and hemorrhagic) after implantation of LVAD.
METHODS
METHODS
Study cohorts were identified from the National Inpatient Sample database from January 2009 to September 2015 using the International Classification of Diseases, Ninth Revision codes. The primary outcome was an incidence of stroke, and secondary outcomes were the associated mortality, length of stay, and cost of hospitalization. A multivariate logistic regression analysis was performed to analyze adjusted in-hospital mortality.
RESULTS
RESULTS
Use of LVADs increased significantly from 2009 to 2014 (2278 in 2009 to 3730 in 2014 [P
CONCLUSION
CONCLUSIONS
The incidence of stroke was ~7% after LVAD placement, and it was associated with significantly higher in-hospital mortality and resource utilization.
Identifiants
pubmed: 32035527
pii: S0019-4832(19)30415-8
doi: 10.1016/j.ihj.2019.09.009
pmc: PMC7013195
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
422-424Informations de copyright
Copyright © 2019 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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