Heart failure & cardiomyopathies

Socio-Economic Position, Multimorbidity, and Health Care Utilization Among Danish Left Ventricular Assist Device Patients

ESC Heart FailPublished Nationwide cohort study

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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