TY - JOUR
T1 - Management of outpatients with implantable left ventricular assist device in Tohoku region
AU - Akiyama, Matoshi
N1 - Publisher Copyright:
© 2014, Japan Soc. of Med. Electronics and Biol. Engineering. All rights reserved.
PY - 2014/8/17
Y1 - 2014/8/17
N2 - Continuous-flow left ventricular assist devices (LVADs) are becoming the standard therapy for patients with end-stage heart failure in Japan since 2011.The number of centers approved for implantable LVADs therapy becomes more than 30; however, there are still only two LVAD centers in Tohoku region. We have had 16 outpatients in 6 prefectures in Tohoku region. To prepare for the emergency after the patients discharged; we met and educated the local emergency department staff, medical services providers, and patients' co-worker. Four patients underwent heart-transplantation and 12 patients are still outpatient. Re admission rate was 1.09 times/patient/per year. Its main causes were driveline infection and neurologic complications. QOL for patient s with LVADs significantly improved; however, we should make on effort to diminish the re-admission rate. Furthermore, follow up system for these patients should be established.
AB - Continuous-flow left ventricular assist devices (LVADs) are becoming the standard therapy for patients with end-stage heart failure in Japan since 2011.The number of centers approved for implantable LVADs therapy becomes more than 30; however, there are still only two LVAD centers in Tohoku region. We have had 16 outpatients in 6 prefectures in Tohoku region. To prepare for the emergency after the patients discharged; we met and educated the local emergency department staff, medical services providers, and patients' co-worker. Four patients underwent heart-transplantation and 12 patients are still outpatient. Re admission rate was 1.09 times/patient/per year. Its main causes were driveline infection and neurologic complications. QOL for patient s with LVADs significantly improved; however, we should make on effort to diminish the re-admission rate. Furthermore, follow up system for these patients should be established.
KW - Left ventricular assist device
KW - Outpatient management
KW - Readmission
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U2 - 10.11239/jsmbe.52.SY-82
DO - 10.11239/jsmbe.52.SY-82
M3 - Article
AN - SCOPUS:84939439711
VL - 52
SP - SY-82-SY-83
JO - BME = Bio medical engineering / henshu, Nihon ME Gakkai
JF - BME = Bio medical engineering / henshu, Nihon ME Gakkai
SN - 1347-443X
ER -