Use of post-acute care services and readmissions after left ventricular assist device implantation in privately insured patients

Shannon M Dunlay, Lindsey R. Haas, Jeph Herrin, Stephanie R. Schilz, John M. Stulak, Sudhir S. Kushwaha, Nilay D Shah

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background Very little is known about health care resource utilization, including post-acute care use and hospital readmissions, after left ventricular assist device (LVAD) implantation. Methods and Results Administrative claims from a database of multiple United States health plans were used to identify patients that received an LVAD (ICD-9 code 37.66) and survived to hospital discharge from January 1-2006, through September 30-2013. Post-acute care use was defined as a skilled nursing facility or rehabilitation stay within 90 days after hospital discharge. Patients were censored at heart transplantation or end of coverage through December 31-2013. Of 583 patients (mean age 55 years, 77% male), 223 (38.3%) used post-acute care services, more commonly in patients with diabetes, who required hemodialysis, and who had LVADs implanted at hospitals in more populated areas, with more beds, and in the northeast region (P

Original languageEnglish (US)
Pages (from-to)816-823
Number of pages8
JournalJournal of Cardiac Failure
Volume21
Issue number10
DOIs
StatePublished - Oct 1 2015

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Subacute Care
Heart-Assist Devices
International Classification of Diseases
State Health Plans
Patient Acceptance of Health Care
Skilled Nursing Facilities
Patient Readmission
Health Resources
Heart Transplantation
Renal Dialysis
Rehabilitation
Databases

Keywords

  • Left ventricular assist device
  • post-acute care
  • readmission

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Use of post-acute care services and readmissions after left ventricular assist device implantation in privately insured patients. / Dunlay, Shannon M; Haas, Lindsey R.; Herrin, Jeph; Schilz, Stephanie R.; Stulak, John M.; Kushwaha, Sudhir S.; Shah, Nilay D.

In: Journal of Cardiac Failure, Vol. 21, No. 10, 01.10.2015, p. 816-823.

Research output: Contribution to journalArticle

Dunlay, Shannon M ; Haas, Lindsey R. ; Herrin, Jeph ; Schilz, Stephanie R. ; Stulak, John M. ; Kushwaha, Sudhir S. ; Shah, Nilay D. / Use of post-acute care services and readmissions after left ventricular assist device implantation in privately insured patients. In: Journal of Cardiac Failure. 2015 ; Vol. 21, No. 10. pp. 816-823.
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