Home Discharge of Patients With a Modified HeartMate IP LVAD

2001 ◽  
pp. 361-370
Author(s):  
T Icenogle ◽  
D Sandler ◽  
D Sato ◽  
S Himley ◽  
M Puhlman
Keyword(s):  
Author(s):  
Joel L. Ramirez ◽  
Devin S. Zarkowsky ◽  
Faustine D. Ramirez ◽  
Warren J. Gasper ◽  
Beth E. Cohen ◽  
...  

2016 ◽  
Vol 31 (12) ◽  
pp. 2705-2709 ◽  
Author(s):  
J. Joseph Gholson ◽  
Andrew J. Pugely ◽  
Nicholas A. Bedard ◽  
Kyle R. Duchman ◽  
Christopher A. Anthony ◽  
...  

2018 ◽  
Vol 35 (10) ◽  
pp. 1067-1073
Author(s):  
Vincent Issac Lau ◽  
Fran Priestap ◽  
Joyce N. H. Lam ◽  
John Basmaji ◽  
Ian M. Ball

Purpose: To describe factors (demographics and clinical characteristics) that predict patients who are at an increased risk of adverse events or unplanned return visits to a health-care facility following discharge direct to home (DDH) from intensive care units (ICUs). Methods: Prospective cohort study of all adult patients who survived their stay in our medical–surgical–trauma ICU between February 2016 and 2017 and were discharged directly home. Patients were followed for 8 weeks postdischarge. Univariable and multivariable logistic regression analyses were performed to identify factors associated with adverse events or unplanned return visits to a health-care facility following DDH from ICU. Results: A total of 129 DDH patients were enrolled and completed the 8-week follow-up. We identified 39 unplanned return visits (URVs). There was 0% mortality at 8 weeks postdischarge. Eight potential predictors of hospital URVs ( P < .2) were identified in the univariable analysis: prior substance abuse (odds ratio [OR] of URV of 2.50 [95% confidence interval: 1.08-5.80], hepatitis (OR: 6.92 [1.68-28.48]), sepsis (OR: 11.03 [1.19-102.29]), admission nine equivalents of nursing manpower score (NEMS) <24 (OR: 2.28 [1.03-5.04], no fixed address (OR: 22.9 [1.2-437.3]), ICU length of stay (LOS) <2 days (OR: 2.95 [1.28-6.78]), home discharge within London, Ontario (OR: 2.44 [1.00-5.92]), and left against medical advice (AMA; OR: 6.06 [2.04-17.98]). Conclusions: Our study identified 8 covariates that were potential predictors of URV: prior substance abuse, hepatitis, sepsis, admission NEMS <24, no fixed address, ICU LOS <2 days, home discharge within London, Ontario, and left AMA. The practice of direct discharges home from the ICU would benefit from adequately powered multicenter study in order to construct a clinical prediction model (that would require further testing and validation).


PM&R ◽  
2012 ◽  
Vol 5 (5) ◽  
pp. 408-417 ◽  
Author(s):  
Jibby E. Kurichi ◽  
Diane Cowper Ripley ◽  
Dawei Xie ◽  
Pui L. Kwong ◽  
Barbara E. Bates ◽  
...  

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