Heart failure & cardiomyopathies
Socio-Economic Position, Multimorbidity, and Health Care Utilization Among Danish Left Ventricular Assist Device Patients
Authors' conclusion
Among patients who underwent LVAD implantation, health care utilization was high in the early post-LVAD discharge phase and was influenced by socio-economic position. Multimorbidity influenced the number of in-hospital days and redeemed prescriptions during the 2 year follow-up.
Study context
- Population
- Patients discharged alive after first-time LVAD implantation, Denmark, 2006–2018median follow-up 0.8 years
- Participants
- 119 patients
- Outcome
- Health care utilization (hospital activity, general practice activity, redeemed prescriptions)
- Follow-up
- Within 2 years post-discharge, 0.5-year intervals
Methodological detailsregistry-based, Danish nationwide
- Registry-based
- Danish nationwide
Main finding
As reported in the abstract
Health care utilization · 0-0.5 years post-LVAD discharge
- Hospitalizations, median (IQR)
- 10 (7-14)
- Bed days, median (IQR)
- 14 (9-28)
- Outpatient visits, median (IQR)
- 8 (5-12)
- Telephone contacts with GP, median (IQR)
- 4 (2-8)
- Redeemed prescriptions, median (IQR)
- 26 (19-37)
Observational data: associations, not effects.
Further findings
Health care utilization · 0.5-1 year post-LVAD discharge
- Hospitalizations, median (IQR)
- 5 (3-8)
- Bed days, median (IQR)
- 8 (4-14)
- Outpatient visits, median (IQR)
- 5 (3-8)
- Telephone contacts, median (IQR)
- 2 (0-5)
- Redeemed prescriptions, median (IQR)
- 24 (18-30)
- Median use stable from 0.5 years onwards
Utilization by socio-economic position · 0-0.5 years
- Median hospitalizations and bed days slightly higher in patients living alone with low educational level or low employment status
Utilization by pre-existing multimorbidity
- Median in-hospital days and redeemed prescriptions higher with pre-existing multimorbidity
Original publication
Socio-Economic Position, Multimorbidity, and Health Care Utilization Among Danish Left Ventricular Assist Device Patients. ESC Heart Fail. Published 15 March 2024. doi:10. 1002/ ehf2. 14750
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