The Impact of a High-risk Psychosocial Assessment on Outcomes After Durable Mechanical Circulatory Support.

ABSTRACT: Patient adherence is vital to the success of durable mechanical circulatory support (MCS), and the pre-MCS assessment of adherence by the multidisciplinary advanced heart failure team is a critical component of the evaluation. We assessed the impact of a high-risk psychosocial assessment before durable MCS implantations on post-MCS outcomes. Between January 2010 and April 2018, 319 patients underwent durable MCS at our center. We excluded those who died or were transplanted before discharge. The remaining 203 patients were grouped by pre-MCS psychosocial assessment: high-risk (26; 12.8%) versus acceptable risk (177; 87.2%). We compared clinical characteristics, nonadherence, and outcomes between groups. High-risk patients were younger (48 vs. 56; p = 0.006) and more often on extracorporeal

SUBMITTER: Kittleson MM 

PROVIDER: S-EPMC8100754 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature