In-hospital complications associated with total artificial heart implantation in the United States between 2004 to

Ahmed K Pasha1, Justin Z Lee2, Hem Desai3

  • 1United Health Services Wilson Hospital in Johnson City NY, USA.

Insights

Total artificial heart (TAH) use has risen in the US. This study found significant complications and mortality rates associated with TAH implants, highlighting the risks of this life-saving device.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology
  • Health Outcomes Research

Background:

  • Total artificial heart (TAH) utilization has seen a notable increase in recent years.
  • Understanding TAH trends, associated complications, and mortality is crucial for patient care.

Purpose of the Study:

  • To evaluate the utilization trends of total artificial hearts in the USA.
  • To assess the morbidity and mortality associated with TAH implantation.

Main Methods:

  • Analysis of a large nationwide inpatient samples (NIS) database.
  • Utilized ICD-9 codes to identify total artificial heart implants.
  • Examined device utilization, complications, and mortality rates from 2004 to 2011.

Main Results:

  • TAH implantation rates increased from 5 in 2004 to 26 in 2011.
  • 22 out of 75 patients (29.3%) experienced mortality.
  • Most common complications included acute renal failure (69.3%), infections (28.0%), and bleeding (14.7%).

Conclusions:

  • Total artificial heart use in the United States has steadily increased.
  • TAH implantation is associated with substantial rates of morbidity and mortality.
Abstract

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