Why the study?
The increasing prevalence of chronic heart failure and the evolving role of LVADs as a treatment alternative to heart transplant require clinicians to understand LVAD care.
RCT (n=80)
Odd and even numbers of medical record number
Absolute Event Rate: 22.22% vs 44.44%
p-value: p=0.006
The prevalence of chronic heart failure is increasing in the United States due to the increase in the number of older adults and because many people are surviving acute cardiac events and living longer with chronic heart disease. In end-stage heart failure, heart transplant was once the gold standard of treatment and patients had to wait for a matching heart donor. In the past, the left ventricular assist device (LVAD) was a mechanical circulatory support treatment used temporarily for those awaiting heart transplant. However, the LVAD is increasingly becoming the chosen treatment of patients in lieu of heart transplant. Home healthcare nurses and clinicians need to be familiar with LVADs in order to care for patients in end-stage heart failure who are using these devices. This article explains the mechanism, potential complications, and nursing implications of caring for the patient who is using an LVAD.
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Capriotti et al. (2019) conducted an RCT in Coronary heart disease (n=80). Holistic nursing integrated with 24-h dynamic electrocardiography vs. Usual nursing was evaluated on Incidence of postoperative complications (p=0.006).
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