Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc |
Journal website http://www.gastrores.org |
Original Article
Volume 11, Number 2, April 2018, pages 100-105
Clinical Predictors for Repeat Hospitalizations in Left Ventricular Assist Device (LVAD) Patients With Gastrointestinal Bleeding
Figure
Tables
Variables | Total (102 patients) | Patients with GIB (32 patients) | Patients without GIB (70 patients) | P value | |
---|---|---|---|---|---|
Age | 53.6 | 62.2 | 49.5 | ||
Race | Black (%) | 36 (35.29) | 7 (21.88) | 29 (41.43) | 0.39 |
White (%) | 65 (63.73) | 25 (78.13) | 40 (57.14) | ||
Other (%) | 1 (0.98) | 0 | 1 (1.43) | ||
Gender | Male (%) | 83 (81.37) | 27 (84.38) | 56 ( 80) | 0.45 |
Female (%) | 19 (18.63) | 5 (15.63) | 14 (20) | ||
Average age (range) | 53.87 (19.2 - 78.9) | 63.06 (50.0 - 78.9) | 49.67 (19.2 - 73.7) | ||
Indication for therapy | Destination (%) | 50 (49.02) | 21 (65.63) | 29 (41.42) | 0.04 |
Bridge to transplant (%) | 52 (50.98) | 11 (34.38) | 41 (58.57) | ||
Type of bleed | Overt | NA | 28(87.5) | NA | NA |
Occult | NA | 4 (12.5) | NA | NA | |
Average Hb (g/dL) (range) | NA | 7.88 (4.7 - 13.3) | NA | ||
Average INR (range) | NA | 2.1 (1.07 - 4.79) | NA | ||
Type of device | Heartmate II (%) | 76 (74.5) | 26 (81.25) | 50 (71.43) | 0.4 |
Heartware (%) | 25 (24.5) | 6 (18.75) | 19 (27.14) | ||
Duraheart (%) | 1 (0.98) | 0 | 1 (1.43) | ||
Medications | Aspirin (%) | 94 (92.16) | 27 (84.38) | 67 (95.71) | 1.0 |
Plavix/prasugrel (%) | 37 (36.27) | 13 (40.63) | 24(34.29) | 0.71 | |
Coumadin (%) | 98 (96.08) | 29 (90.63) | 69 (98.57) | 0.02 |
Parameter | Level | Estimated OR | Lower limit 95% CI | Upper limit 95% CI | P value |
---|---|---|---|---|---|
LOS: length of hospital stay; INR: international normalized ratio; *Showing statistically significant variables. | |||||
Sex | Male | 10.369* | 1.815 | 59.241 | 0.0085* |
Intention to treat | Bridge to transplant | 0.073* | 0.19 | 0.273 | 0.0001* |
Overt vs. occult | Occult | 2.185 | 0.677 | 7.056 | Not significant |
Early endoscopy (< 48 h) | Yes | 0.430* | 0.186 | 0.992 | 0.048* |
Etiology | Ischemic | 0.571 | 0.260 | 1.254 | Not significant |
LOS | Each additional day | 0.831* | 0.712 | 0.979 | 0.092 |
INR level on admission | Each 1 point over normal | 3.580* | 1.463 | 8.759 | 0.052 |