000 02976nam a22004577a 4500
008 210607s20212021 xxu||||| |||| 00| 0 eng d
022 _a1058-2916
024 _a00002480-900000000-98280 [pii]
024 _a10.1097/MAT.0000000000001378 [doi]
040 _aOvid MEDLINE(R)
099 _a33927085
245 _aThe Impact of Adverse Events on Functional Capacity and Quality of Life After HeartWare Ventricular Assist Device Implantation.
251 _aASAIO Journal. 67(10):1159-1162, 2021 10 01.
252 _aASAIO J. 67(10):1159-1162, 2021 10 01.
252 _zASAIO J. 2021 Apr 21
253 _aASAIO journal (American Society for Artificial Internal Organs : 1992)
260 _c2021
260 _fFY2022
265 _saheadofprint
265 _sppublish
266 _d2021-06-07
268 _aASAIO Journal. 2021 Apr 21
269 _fFY2021
520 _aLeft ventricular assist devices (LVADs) improve quality of life (QoL) and functional capacity (FC) for patients with advanced heart failure. The association between adverse events (AEs) and changes in QoL and FC are unknown. Patients treated with the HeartWare ventricular assist device (HVAD) with paired 6-minute walk distance (6MWD, n = 263) and Kansas City Cardiomyopathy Questionnaires (KCCQ, n = 272) at baseline and 24 months in the ENDURANCE and ENDURANCE Supplemental Trial databases were included. Patients were stratified based upon occurrence of clinically significant AEs during the first 24 months of support and analyzed for the mean change in 6MWD and KCCQ. The impact of AE frequency on change in 6MWD and KCCQ from baseline to 24 months was evaluated. Of the AEs examined, only sepsis was associated with an improvement in 6MWD (109 m vs. 16 m, p = 0.002). Patients without improvement in 6MWD test from baseline to 24 months had significantly more AEs than those with FC improvement (p = 0.0002). Adverse events did not affect the KCCQ overall summary score. In this analysis, patients with fewer AEs had greater improvement in FC during the 24-month follow up. The frequency of AEs did not have a significant impact on QoL after LVAD implantation. Copyright (c) 2021 by the American Society for Artificial Internal Organs.
546 _aEnglish
650 _a*Heart Failure
650 _a*Heart-Assist Devices
650 _aHeart Failure/su [Surgery]
650 _aHeart-Assist Devices/ae [Adverse Effects]
650 _aHumans
650 _aQuality of Life
650 _aTreatment Outcome
650 _aWalking
651 _aMedStar Heart & Vascular Institute
657 _aJournal Article
700 _aBoyce, Steven W
700 _aNajjar, Samer S
790 _aAaronson KD, Birks E, Boyce S, Itoh A, Milano CA, Mokadam N, Najjar SS, Pagani FD, Pamboukian S, Reid B, Rogers JG, Samsky MD, Slaughter MS
856 _uhttps://dx.doi.org/10.1097/MAT.0000000000001378
_zhttps://dx.doi.org/10.1097/MAT.0000000000001378
942 _cART
_dArticle
999 _c6264
_d6264