Invasive And Non-invasive Assessment Of Arterial Blood Oxygen Saturation In Patients With Continuous Flow LVADs: Is There A Correlation?
HFSA ePoster Library. Alexy T. 09/10/21; 343378; 153
Tamas Alexy
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Abstract
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Introduction: The objective of this study was to characterize national estimates of emergency department (ED) presentations of patients with heart transplantation (HT) in the United States with a focus on demographic, clinical, and outcomes profile.
Methods: The retrospective analysis of National Emergency Department Sample (NEDS) was performed. All ED visits of patients aged 18 years and older with International Classification of Diseases (ICD-10) code for HT from 2016 to 2018 were identified and analyzed.
Results: There were a total 55,583 ED visits (0.018 % of total ED visits) among adults with HT during the study period. The median age was 61.07 years (IQR: 46.91-69.38) and 69.44% of visits were among males. The most frequently diagnosed comorbid conditions were hypertension (66.1%), diabetes mellitus (41.63%), depression (11.06%), and ESRD on dialysis (9.59%). The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63-5.92). The mortality rate during inpatient stay was 1.16%. Right and left heart catheterization was performed in 1.7% and 0.93% respectively. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487-$71262). The top 5 most common primary diagnosis of HT related ED visits were sepsis (4.3%), acute kidney injury (3.57%), unspecified chest pain (3%), and pneumonia (2.56%).
Conclusion: More than half of total visits resulted in hospital admission. The most common causes for ED visit in this patient population were non cardiac reasons with sepsis being the most common primary diagnosis. The overall mortality related to ED visits and hospitalization remains low.
Methods: The retrospective analysis of National Emergency Department Sample (NEDS) was performed. All ED visits of patients aged 18 years and older with International Classification of Diseases (ICD-10) code for HT from 2016 to 2018 were identified and analyzed.
Results: There were a total 55,583 ED visits (0.018 % of total ED visits) among adults with HT during the study period. The median age was 61.07 years (IQR: 46.91-69.38) and 69.44% of visits were among males. The most frequently diagnosed comorbid conditions were hypertension (66.1%), diabetes mellitus (41.63%), depression (11.06%), and ESRD on dialysis (9.59%). The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63-5.92). The mortality rate during inpatient stay was 1.16%. Right and left heart catheterization was performed in 1.7% and 0.93% respectively. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487-$71262). The top 5 most common primary diagnosis of HT related ED visits were sepsis (4.3%), acute kidney injury (3.57%), unspecified chest pain (3%), and pneumonia (2.56%).
Conclusion: More than half of total visits resulted in hospital admission. The most common causes for ED visit in this patient population were non cardiac reasons with sepsis being the most common primary diagnosis. The overall mortality related to ED visits and hospitalization remains low.
Introduction: The objective of this study was to characterize national estimates of emergency department (ED) presentations of patients with heart transplantation (HT) in the United States with a focus on demographic, clinical, and outcomes profile.
Methods: The retrospective analysis of National Emergency Department Sample (NEDS) was performed. All ED visits of patients aged 18 years and older with International Classification of Diseases (ICD-10) code for HT from 2016 to 2018 were identified and analyzed.
Results: There were a total 55,583 ED visits (0.018 % of total ED visits) among adults with HT during the study period. The median age was 61.07 years (IQR: 46.91-69.38) and 69.44% of visits were among males. The most frequently diagnosed comorbid conditions were hypertension (66.1%), diabetes mellitus (41.63%), depression (11.06%), and ESRD on dialysis (9.59%). The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63-5.92). The mortality rate during inpatient stay was 1.16%. Right and left heart catheterization was performed in 1.7% and 0.93% respectively. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487-$71262). The top 5 most common primary diagnosis of HT related ED visits were sepsis (4.3%), acute kidney injury (3.57%), unspecified chest pain (3%), and pneumonia (2.56%).
Conclusion: More than half of total visits resulted in hospital admission. The most common causes for ED visit in this patient population were non cardiac reasons with sepsis being the most common primary diagnosis. The overall mortality related to ED visits and hospitalization remains low.
Methods: The retrospective analysis of National Emergency Department Sample (NEDS) was performed. All ED visits of patients aged 18 years and older with International Classification of Diseases (ICD-10) code for HT from 2016 to 2018 were identified and analyzed.
Results: There were a total 55,583 ED visits (0.018 % of total ED visits) among adults with HT during the study period. The median age was 61.07 years (IQR: 46.91-69.38) and 69.44% of visits were among males. The most frequently diagnosed comorbid conditions were hypertension (66.1%), diabetes mellitus (41.63%), depression (11.06%), and ESRD on dialysis (9.59%). The hospital admission rate was 54.3% and median inpatient length of stay was 3.19 days (IQR: 1.63-5.92). The mortality rate during inpatient stay was 1.16%. Right and left heart catheterization was performed in 1.7% and 0.93% respectively. Median inpatient and ED charges among admitted patients were $37,911 (IQR: $21,487-$71262). The top 5 most common primary diagnosis of HT related ED visits were sepsis (4.3%), acute kidney injury (3.57%), unspecified chest pain (3%), and pneumonia (2.56%).
Conclusion: More than half of total visits resulted in hospital admission. The most common causes for ED visit in this patient population were non cardiac reasons with sepsis being the most common primary diagnosis. The overall mortality related to ED visits and hospitalization remains low.
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