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Updated: Jan 8, 2026
07:39
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
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Factors Associated With Outpatient Palliative Care Use in Patients With Long-Term Left Ventricular Assist Device
Marc El Khoury1, Richa Gupta2, Patrick Creechan1
1Department of Medicine, MedStar Washington Hospital Center, Washington, DC.
Journal of Cardiac Failure
|December 12, 2025
Summary
Only one-third of long-term LVAD patients received outpatient palliative care (OPC). Increased hospitalizations were linked to higher OPC use, while HVAD patients had lower odds. Integrating OPC proactively can improve patient outcomes.
Area of Science:
- Cardiology
- Palliative Care
- Health Services Research
Background:
- Outpatient palliative care (OPC) improves quality of life in heart failure patients.
- Utilization rates of OPC in long-term LVAD (LT-LVAD) patients are not well-described.
- This study examines OPC use and outcomes in a large LT-LVAD cohort.
Purpose of the Study:
- To describe OPC utilization rates in LT-LVAD patients.
- To identify factors associated with receiving OPC in this population.
- To understand the impact of OPC on patient outcomes.
Main Methods:
- Retrospective cohort study of 233 LT-LVAD patients (implanted 2017-2021).
- Multivariate logistic regression analyzed associations between demographics, clinical factors, social determinants (ADI), and OPC receipt.
- Compared outcomes between patients who received OPC and those who did not.
Main Results:
- 34.3% of LT-LVAD patients received OPC.
- Each additional hospitalization increased OPC odds (OR 1.07).
- HVAD patients were less likely to receive OPC compared to HeartMate3 (OR 0.32).
- No significant association found between Area Deprivation Index and OPC receipt (OR 0.50).
Conclusions:
- Less than half of LT-LVAD patients utilized OPC, indicating a significant unmet need.
- Higher hospitalization rates correlate with increased OPC likelihood.
- HVAD device recipients show lower OPC utilization, suggesting a need for targeted interventions.
- Proactive integration of OPC into routine LT-LVAD management is recommended to enhance patient-centered outcomes.
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