Out latest paper is just published in @PalliativeMed_j
62 cases for LVAD withdrawal in @nyphospital
When LVAD withdrawal is requested, how did we handle it?
Major findings follow.
liebertpub.com/doi/10.1089/jp…
62 cases for LVAD withdrawal in @nyphospital
When LVAD withdrawal is requested, how did we handle it?
Major findings follow.
liebertpub.com/doi/10.1089/jp…
14 patient joined the decision of WD (requested to stop LVAD by themselves).
The median days between a req and deactivation was 5.5
Significant difference between in and out the ICU (1 d vs 46d, p=0.013)
The median days between a req and deactivation was 5.5
Significant difference between in and out the ICU (1 d vs 46d, p=0.013)
48 patients cannot join the decision d/t medical reasons (surrogates requested to stop LVAD).
The median days between patient became unable to express themselves and deactivation was 5.5
Not significant, but outside ICU still took longer (4d vs 13d, p=0.072).
The median days between patient became unable to express themselves and deactivation was 5.5
Not significant, but outside ICU still took longer (4d vs 13d, p=0.072).
The breakdown of 14 patients who requested.
Almost all of them required palliative care consult.
Palliative care consult or ethics consult were much more frequent, suggesting req by patents posed more difficulty.
Also outside the ICU (patient is less sick) is more difficult.
Almost all of them required palliative care consult.
Palliative care consult or ethics consult were much more frequent, suggesting req by patents posed more difficulty.
Also outside the ICU (patient is less sick) is more difficult.
