Timelines of adverse event journeys of LVAD patients

Author:

Movahedi Faezeh1ORCID,Kanwar Manreet K.2,Antaki James F.3ORCID

Affiliation:

1. Swanson School of Engineering University of Pittsburgh Pittsburgh Pennsylvania USA

2. Department of Medicine Cardiovascular Institute at Allegheny Health Network Pittsburgh Pennsylvania USA

3. Meinig School of Biomedical Engineering Cornell University Ithaca New York USA

Abstract

AbstractObjectiveThe INTERMACS Events data set contains an expansive collection of temporal evidence of the course of adverse events (AEs) of >15 000 patients that have received a left ventricular assist device (LVAD). The chronology of AEs may contain insightful information of the “AE journeys” of LVAD patients. The purpose of this study is to investigate the timelines of AEs within the INTERMACS database.MethodsDescriptive statistics were applied to 86 912 recorded AEs of 15 820 patients with a continuous flow‐LVAD between 2008 to 2016, extracted from INTERMACS registry. The characteristics of the timelines of AE journeys were investigated by posing six descriptive research questions.ResultsThe analysis revealed several time‐related characteristics and patterns of the AE journey after LVAD including the most common time of occurrences of AEs after surgery, duration of AEs journeys, the time of first and last AEs, and the time gaps between AEs.ConclusionThe INTERMACS Event dataset is a valuable resource for research about the timeline of AE journeys of patients who received an LVAD. It is necessary for future studies to first explore and consider the time‐related characteristics of the data set such as diversity and sparsity to effectively choose an appropriate scope of time and time granularity and to acknowledge potential challenges.

Funder

National Heart, Lung, and Blood Institute

Agency for Healthcare Research and Quality

Publisher

Wiley

Subject

Biomedical Engineering,General Medicine,Biomaterials,Medicine (miscellaneous),Bioengineering

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