Gender differences in psychosocial and clinical characteristics in the European Registry for Patients with Mechanical Circulatory Support

Löchel, S.; Maukel, L.M.; Weidner, Gerdi; By, Theo M M H de; Spaderna, Heike

doi:10.1016/j.hrtlng.2021.06.007

Cited by 2 publications

(2 citation statements)

References 36 publications

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“…Compared with men, women with an LVAD tended to improve their adherence to the self‐care behaviour such as avoiding kinking, pulling, or moving of the driveline at the exit site. Previous research found that before the COVID‐19 pandemic, women tended to report self‐care problems more often than men 8 . Moreover, during the pandemic, among cardiometabolic patients in Latin America, women reported having healthier eating habits and lower alcohol and tobacco consumption, but exercising less than men 13 .…”

Section: Discussionmentioning

confidence: 94%

“…Previous research found that before the COVID-19 pandemic, women tended to report self-care problems more often than men. 8 Moreover, during the pandemic, among cardiometabolic patients in Latin America, women reported having healthier eating habits and lower alcohol and tobacco consumption, but exercising less than men. 13 Further studies are required to test the significance of the current self-care gender difference.…”

Section: Discussionmentioning

confidence: 99%

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Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic

et al. 2023

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Aims Left ventricular assist devices (LVADs) support the hearts of patients with advanced heart failure. Following LVAD implantation, patients face a complex regimen of self‐care behaviours including self‐care maintenance, self‐care monitoring and self‐care management. However, during the COVID‐19 pandemic, symptoms of anxiety and depression may have interfered with their self‐care. Currently, little is known on how specific self‐care behaviours of LVAD‐implanted patients changed during the COVID‐19 pandemic. We aim to describe the changes in self‐care behaviours among patients with an implanted LVAD in Israel during the COVID‐19 pandemic and explore the factors related to self‐care behaviour change. Methods A prospective observational cross‐sectional study design. A convenience sample of 27 Israeli LVAD‐implanted patients (mean age 62.4 ± 9, 86% male, 78.6% living with a partner) completed the LVAD Self‐Care Behaviour Scale (1 = never to 5 = always) and Hospital Anxiety and Depression Scale (0 = not at all to 3 = most of the time). Data were collected before and after the onset of the COVID‐19 pandemic in Israel. Statistical analyses included paired t‐tests, Pearson's correlations, and one‐way repeated measures ANOVAs. Results During the COVID‐19 pandemic, a significant decrease was found in patients' adherence to checking and recording their LVAD speed, flow, power and PI (Pulsatility Index) (P = 0.05), checking their INR (P = 0.01), and daily weighing (P < 0.01). The prevalence of some behaviours (e.g. regularly exercising) increased in some patients and decreased in others. Patients living without a partner worsened their adherence to some of the self‐care behaviours (e.g. taking medicines as prescribed), compared with those living with a partner (Mb = 5.0 ± 0 and Md = 5.0 ± 0, delta = 0 vs. Mb = 5.0 ± 0 and Md = 4.6 ± 0.9, delta = −0.4, respectively; F = 4.9, P = 0.04). Women, and not men, tended to improve their adherence to the self‐care behaviour such as avoiding kinking, pulling, or moving the LVAD driveline at the exit site (Mb = 4.0 ± 1.0 and Md = 5.0 ± 0, delta = 1.0 vs. Mb = 4.5 ± 0.9 and Md = 4.4 ± 1.2, delta = −0.1, F = 4.7, P = 0.04, respectively). In total, 41% (11) patients reported neither anxiety nor depression, 11% (3) reported anxiety, 15% (4) reported depression, and 44% (12) reported both anxiety and depression. No associations between anxiety and/or depression and self‐care behaviours were found. Conclusions Priorities in self‐care behaviours among patients with implanted LVAD changed after the onset of the COVID‐19 pandemic. Factors that assisted with adherence to self‐care behaviours included living with a partner and being female. The current results may guide further research on identifying behaviours that are at risk of not being maintained during a time of emergency.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic

et al. 2023

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Comparative analysis of LVAD patients in regard of ischaemic or idiopathic cardiomyopathy: A propensity-score analysis of EUROMACS data

et al. 2022

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Background: Despite recent advances in management of patients with advanced heart failure, mortality remains high. Aim of this study was to compare impact of different aetiology of ischaemic and idiopathic cardiomyopathy on early outcomes and long-term survival of patients after left ventricular assist device implantation. Methods: European Registry for Patients with Mechanical Circulatory Support (EUROMACS) gathers clinical data and follow-up parameters of LVAD recipients. Patients enrolled in the EUROMACS registry with primary diagnosis of either ischaemic ( n = 1190) or idiopathic ( n = 812) cardiomyopathy were included. Primary Endpoints were early mortality as well as long-term survival. Secondary endpoint were major postoperative adverse events, such as need for rethoracotomy. Additionally, a propensity-score matching analysis was performed for patients with ischaemic ( n = 509) and idiopathic ( n = 509) cardiomyopathy. Results: In terms of basic demographics and baseline parameters the two groups significantly differed as expected before propensity-score matching due to different aetiology of cardiomyopathy. Seven-day (52 (4.4%) versus 18 (2.2%); p = 0.009), 30-day (153 (12.9%) versus 73 (9.0%); p = 0.008) and in-hospital mortality (253 (19.7%) versus 123 (15.1%); p = 0.009) were significantly lower in the idiopathic cardiomyopathy group compared to the ischaemic cardiomyopathy group, whereas after propensity-score matching 30-day ( p = 0.169) was comparable and in-hospital mortality ( p = 0.051) was almost significant. Kaplan-Meier survival analysis revealed no significant difference in regard of long-term survival after propensity-score matching (Breslow-test p = 0.161 and LogRank-test p = 0.113). Conclusion: Though patients with ischaemic and idiopathic cardiomyopathy suffer from different cardiomyopathy aetiologies, 30-day-mortality and long-term survival of both groups were similar leading to the conclusion that covariates predominately influence mortality and survival of ischaemic and idiopathic cardiomyopathies.

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Gender differences in psychosocial and clinical characteristics in the European Registry for Patients with Mechanical Circulatory Support

Cited by 2 publications

References 36 publications

Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic

Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic

Comparative analysis of LVAD patients in regard of ischaemic or idiopathic cardiomyopathy: A propensity-score analysis of EUROMACS data

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