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(333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits

PURPOSE: The advent of COVID-19 forced an immediate need to provide virtual care to patients supported on ventricular assist devices (VADs). The purpose of this study was to compare outcomes of ongoing VAD care provided in virtual VAD visits (VVV) to traditional in-person clinic visits. METHODS: A s...

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Autores principales: Meehan, K., Chinco, A., LaBuhn, C., Rodgers, D., Justin, O., Chickerillo, K., Creighton, S., Kagan, V., Ohalloran, K., Jeevanandam, V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10068070/
http://dx.doi.org/10.1016/j.healun.2023.02.1637
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author Meehan, K.
Chinco, A.
LaBuhn, C.
Rodgers, D.
Justin, O.
Chickerillo, K.
Creighton, S.
Kagan, V.
Ohalloran, K.
Jeevanandam, V.
author_facet Meehan, K.
Chinco, A.
LaBuhn, C.
Rodgers, D.
Justin, O.
Chickerillo, K.
Creighton, S.
Kagan, V.
Ohalloran, K.
Jeevanandam, V.
author_sort Meehan, K.
collection PubMed
description PURPOSE: The advent of COVID-19 forced an immediate need to provide virtual care to patients supported on ventricular assist devices (VADs). The purpose of this study was to compare outcomes of ongoing VAD care provided in virtual VAD visits (VVV) to traditional in-person clinic visits. METHODS: A single center, prospective study was conducted from October 2020 to August 2022. A total of 70 patients were randomized to virtual (34) or in-person (36) clinic visits. They were followed for one year after consent. Patients in the virtual arm were given a manual blood pressure cuff, doppler, and electronic tablet, accompanied by education for proper use. Virtual and in-person visits were conducted in the same format. A total of 2 withdrew, 4 expired, and 9 patients were transplanted. Survival, readmission rate, VAD complications, frequency, and length of visits were compared between groups. RESULTS: Total survival was 94%, with improved survival with VVV (97% vs 92%). The VVV group had less readmissions (60 vs 25 hospitalizations p=0.006) with a shorter average length of stay (7.72 vs 15 days, p=0.5). Rates of bleeding (12% vs 15%), heart failure (20% vs 23%), and infection (36% vs 40%) were relatively similar in both groups. Virtual VAD visits resulted in less frequent urgent visits (29 vs 12 visits) as well as shorter clinic visits (28 vs 38 minutes). CONCLUSION: We conclude that virtual VAD visits result in a statistically significant decrease in readmissions and comparable VAD complication rates to patients seen in-person for clinic visits. Clinicians can consider virtual VAD visits to be a reliable and efficient alternative for ongoing follow up. To our knowledge, this is the largest study of ongoing virtual care of VAD patients. Further study of this care model is required.
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spelling pubmed-100680702023-04-03 (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits Meehan, K. Chinco, A. LaBuhn, C. Rodgers, D. Justin, O. Chickerillo, K. Creighton, S. Kagan, V. Ohalloran, K. Jeevanandam, V. J Heart Lung Transplant Article PURPOSE: The advent of COVID-19 forced an immediate need to provide virtual care to patients supported on ventricular assist devices (VADs). The purpose of this study was to compare outcomes of ongoing VAD care provided in virtual VAD visits (VVV) to traditional in-person clinic visits. METHODS: A single center, prospective study was conducted from October 2020 to August 2022. A total of 70 patients were randomized to virtual (34) or in-person (36) clinic visits. They were followed for one year after consent. Patients in the virtual arm were given a manual blood pressure cuff, doppler, and electronic tablet, accompanied by education for proper use. Virtual and in-person visits were conducted in the same format. A total of 2 withdrew, 4 expired, and 9 patients were transplanted. Survival, readmission rate, VAD complications, frequency, and length of visits were compared between groups. RESULTS: Total survival was 94%, with improved survival with VVV (97% vs 92%). The VVV group had less readmissions (60 vs 25 hospitalizations p=0.006) with a shorter average length of stay (7.72 vs 15 days, p=0.5). Rates of bleeding (12% vs 15%), heart failure (20% vs 23%), and infection (36% vs 40%) were relatively similar in both groups. Virtual VAD visits resulted in less frequent urgent visits (29 vs 12 visits) as well as shorter clinic visits (28 vs 38 minutes). CONCLUSION: We conclude that virtual VAD visits result in a statistically significant decrease in readmissions and comparable VAD complication rates to patients seen in-person for clinic visits. Clinicians can consider virtual VAD visits to be a reliable and efficient alternative for ongoing follow up. To our knowledge, this is the largest study of ongoing virtual care of VAD patients. Further study of this care model is required. Published by Elsevier Inc. 2023-04 2023-04-03 /pmc/articles/PMC10068070/ http://dx.doi.org/10.1016/j.healun.2023.02.1637 Text en Copyright © 2023 Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Meehan, K.
Chinco, A.
LaBuhn, C.
Rodgers, D.
Justin, O.
Chickerillo, K.
Creighton, S.
Kagan, V.
Ohalloran, K.
Jeevanandam, V.
(333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title_full (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title_fullStr (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title_full_unstemmed (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title_short (333) Transitioning Vad Care: Outcomes of Virtual Vad Follow Up Visits
title_sort (333) transitioning vad care: outcomes of virtual vad follow up visits
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10068070/
http://dx.doi.org/10.1016/j.healun.2023.02.1637
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