Mental health disorders and emergency resource use and outcomes in ventricular assist device supported patients - 26/09/21

Doi : 10.1016/j.ahj.2021.05.018

Jonathan J Edwards ^a,^{^{†
Contributed equally to this work.},}^⁎ , Jonathan B Edelson ^a,^b,^c,^{^{†
Contributed equally to this work.}}, Hannah Katcoff ^d, Antara Mondal ^d, Debra Lefkowitz ^e, Nosheen Reza ^f, Thomas C Hanff ^f, Heather Griffis ^d, Jeremy A Mazurek ^f, Joyce Wald ^f, Anjali T Owens ^f, Carol A Wittlieb-Weber ^a, Danielle S Burstein ^a, Pavan Atluri ^g, Matthew J O'Connor ^a, Lee R Goldberg ^b,^h, Payman Zamani ^d, Peter W Groeneveld ^b,^g, Joseph W Rossano ^a,^b, Kimberly Y Lin ^a, Edo Y Birati ^b,^h,ⁱ
^a Division of Cardiology, Cardiac Center, the Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Pennsylvania, PA
^b Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Pennsylvania, PA
^c Leonard Davis Institute for Healthcare Economics, University of Pennsylvania, Pennsylvania , PA
^d Department of Biomedical and Health Informatics, Data Science and Biostatistics Unit the Children's Hospital of Philadelphia, Pennsylvania, PA
^e Department of Child and Adolescent Psychiatry and avioral Sciences, the Children's Hospital of Philadelphia, Pennsylvania, PA
^f Department of Medicine, Cardiovascular Division, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA
^g Cardiothoracic Surgery, Perelman School of Medicine, University of Pennsylvania, Pennsylvania , PA
^h Department of Medicine, General Internal Medicine Division, University of Pennsylvania Perelman School of Medicine, Pennsylvania, PA
ⁱ Cardiovascular Division, Poriya Medical Center, Bar-Ilan University, Israel

^⁎Reprint requests: Division of Cardiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine , 3401 Civic Center Boulevard, 8NW51, Pennsylvania, PA 19104Division of CardiologyChildren's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine3401 Civic Center Boulevard, 8NW51PennsylvaniaPA19104

Abstract

There are limited data describing the prevalence of mental health disorders (MHDOs) in patients with ventricular assist devices (VADs), or associations between MHDOs and resource use or outcomes. We used the Nationwide Emergency Department Sample administrative database to analyze 44,041 ED encounters for VAD-supported adults from 2010 to 2017, to assess the relationship between MHDOs and outcomes in this population. MHDO diagnoses were present for 23% of encounters, and were associated with higher charges and rates of admission, but lower mortality.

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Vol 240

P. 11-15 - Ottobre 2021 Ritorno al numero

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Mental health disorders and emergency resource use and outcomes in ventricular assist device supported patients - 26/09/21

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