Left Ventricular Assist Device: Care On Inpatient Rehabilitation Facility.

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses

PubMedID: 25471525

Forrest G, Radu G, Rifenburg K, Shields E, Clift S. Left Ventricular Assist Device: Care On Inpatient Rehabilitation Facility. Rehabil Nurs. 2014;.
PURPOSE
Investigate the outcomes of patients admitted to an inpatient rehabilitation facility (IRF) after placement of a left ventricular assist device (LVAD).

DESIGN
Retrospective review of records.

METHOD
Authors reviewed records of patients admitted to the IRF after cardiac surgery or admission to the hospital with either acute myocardial infarction, congestive heart failure, or placement of an LVAD. The study reports improvement in function, length of stay (LOS), and location of discharge.

FINDINGS
The patients in the LVAD group made as much progress in terms of improvement in function as the other groups. None of the patients in the LVAD group required transfer back to medical or surgical units. All were discharged to home. Length of stay (LOS) of the LVAD group was not significantly longer than that of the other cardiac patients.

CONCLUSIONS
Patients who have had placement of an LVAD can be safely cared for in an IRF.

CLINICAL RELEVANCE
This paper provides information about the indications for LVAD, the nursing care of patients with an LVAD, and the outcomes of care in an IRF.