Impact of Left Ventricular Assist Devices on 30-Day Readmission and Outcomes in Non-Variceal Upper Gastrointestinal Bleeding: A Nationwide Analysis

Authors

Umer Farooq
Zahid Ijaz Tarar
Adnan Malik
Muhammad Kashif Amin
Mustafa Gandhi
Moosa Tarar
Faisal Kamal, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

1-18-2024

Comments

This article is the author's final published version in Gastroenterology Review, Volume 19, Issue 2, January 2024, Pages 175-185.

The published version is available at https://doi.org/10.5114/pg.2023.134394. Copyright © Termedia Publishing House Ltd. All rights reserved.

Abstract

INTRODUCTION: Bleeding, especially non-variceal upper gastrointestinal bleeding (NVUGIB), remains the most common cause of readmission in left ventricular assist device (LVAD) patients. Any readmission after NVUGIB carries a worse prognosis.

AIM: To compare readmission outcomes in NVUGIB patients with and without LVAD.

MATERIAL AND METHODS: We identified adult NVUGIB patients using the National Readmission Database 2018 employing International Classification of Diseases, Tenth Revision (ICD-10) codes. The patients were grouped based on LVAD history. Proportions were compared using the Fisher exact test, and multivariate Cox proportional regression analysis was used to compute adjusted

RESULTS: The analysis included 322,342 NVUGIB patients, 1403 had a history of LVAD (mean age 64.25 years). The 30-day all-cause readmission rate in NVUGIB with LVAD was higher (24.31% vs. 13.92%,

CONCLUSIONS: Readmissions in NVUGIB patients after LVAD require complex haemostatic intervention and are associated with greater resource utilization. To reduce readmissions and associated healthcare costs, it is essential to identify high-risk patients.

Recommended Citation

Farooq, Umer; Tarar, Zahid Ijaz; Malik, Adnan; Amin, Muhammad Kashif; Gandhi, Mustafa; Tarar, Moosa; and Kamal, Faisal, "Impact of Left Ventricular Assist Devices on 30-Day Readmission and Outcomes in Non-Variceal Upper Gastrointestinal Bleeding: A Nationwide Analysis" (2024). Division of Gastroenterology and Hepatology Faculty Papers. Paper 120.
https://jdc.jefferson.edu/gastro_hepfp/120

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

PubMed ID

38939056

Language

English