Open AccessThe Preimplantation Psychosocial Evaluation and Prediction of Clinical Outcomes During Mechanical Circulatory Support: What Information Is Most Prognostic?
Author(s) -
Mary Amanda Dew,
Jennifer Hollenberger,
Laura Liliana Obregon,
Gavin Hickey,
Christopher M. Sciortino,
K.L. Lockard,
N. Kunz,
Michael A. Mathier,
Rama Ramani,
Arman Kilic,
Dennis M. McNamara,
Marc A. Simon,
Mary Keebler,
Robert L. Kormos
Publication year - 2020
Publication title -
transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/tp.0000000000003287
Subject(s) - psychosocial , medicine , odds ratio , transplantation , hazard ratio , confidence interval , psychiatry
Psychosocial evaluations are required for long-term mechanical circulatory support (MCS) candidates, no matter whether MCS will be destination therapy (DT) or a bridge to heart transplantation. Although guidelines specify psychosocial contraindications to MCS, there is no comprehensive examination of which psychosocial evaluation domains are most prognostic for clinical outcomes. We evaluated whether overall psychosocial risk, determined across all psychosocial domains, predicted outcomes, and which specific domains appeared responsible for any effects.