Care fragmentation predicts 90-day durable ventricular assist device outcomes.

ABSTRACT:

Objectives

To examine whether fragmentation of care is associated with worse in-hospital and 90-day outcomes following durable ventricular assist device (VAD) implant.

Study design

Cohort study.

Methods

This study was conducted using Medicare claims linked to the Society of Thoracic Surgeons (STS) Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs) among patients undergoing VAD implant between July 2009 and April 2017. Medicare data were used to measure fragmentation of the multidisciplinary care delivery network for the treating hospital, based on providers' history of shared patients within the previous year. STS Intermacs data were used for risk adjustment and outcomes ascertainment. Hospitals were sorted into terciles based on the degree

SUBMITTER: Funk RJ 

PROVIDER: S-EPMC10405264 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature