Disparities and Impact of Medicaid Expansion on Left Ventricular Assist Device Implantation and Outcomes.

ABSTRACT:

Background

Left ventricular assist device (LVAD) therapy is an increasingly viable alternative for patients who are not candidates for heart transplantation or who are waiting for a suitable donor. We aimed to determine whether there is an association between sex, race/ethnicity, insurance coverage, and neighborhood income and access to/outcomes of LVAD implantation. We further analyzed whether access to LVAD improved in states that did versus did not expand Medicaid.

Methods and results

Retrospective cohort study using State Inpatient Databases to identify patients 18 to 85 years of age admitted for heart failure, cardiogenic shock, or LVAD implantation from 2012 to 2015. Logistic regression analyses adjusting for age, all the sociodemographic factors above, medical comorbi

SUBMITTER: Wang X 

PROVIDER: S-EPMC8627192 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature