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Adverse events and ICU readmission rates after floor transfer for paediatric patients on ventricular assist device support

Published online by Cambridge University Press:  28 March 2025

Kari A. Phillips Open the ORCID record for Kari A. Phillips [Opens in a new window] ,
August Brennan ,
Michael Profsky ,
Gregory T. Hadfield ,
Brandon W. Kirkland ,
Caroline Heyrend ,
Eric R. Griffiths ,
Lindsay J. May Open the ORCID record for Lindsay J. May [Opens in a new window]  and
Michelle S. Ploutz
Kari A. Phillips*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Utah, Salt Lake City, UT, USA
August Brennan
Affiliation:
Department of Pediatrics, University of Utah, Salt Lake City, UT, USA
Michael Profsky
Affiliation:
Department of Nursing, Intermountain Health Primary Children’s Hospital, Salt Lake City, UT, USA
Gregory T. Hadfield
Affiliation:
Department of Nursing, Intermountain Health Primary Children’s Hospital, Salt Lake City, UT, USA
Brandon W. Kirkland
Affiliation:
Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT, USA
Caroline Heyrend
Affiliation:
Department of Pharmacy, Intermountain Health Primary Children’s Hospital, Salt Lake City, UT, USA
Eric R. Griffiths
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, University of Utah, Salt Lake City, UT, USA
Lindsay J. May
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Utah, Salt Lake City, UT, USA
Michelle S. Ploutz
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Utah, Salt Lake City, UT, USA
*
Corresponding author: Kari A. Phillips; Email: [email protected]
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Abstract

Paediatric ventricular assist device patients, including those with single ventricle anatomy, are increasingly managed outside of the ICU. We used retrospective chart review of our single centre experience to quantify adverse event rates and ICU readmissions for 22 complex paediatric patients on ventricular assist device support (15 two ventricles, 7 single ventricle) after floor transfer. The median age was 1.65 years. The majority utilised the Berlin EXCOR (17, 77.3%). There were 9 ICU readmissions with median length of stay of 2 days. Adverse events were noted in 9 patients (41%), with infection being most common (1.8 events per patient year). There were no deaths. Single ventricle patients had a higher proportion of ICU readmission and adverse events. ICU readmission rates were low, and adverse event rates were comparable to published rates suggesting ventricular assist device patients can be safely managed on the floor.

Keywords

Paediatricventricular assist deviceintensive careadverse eventsreadmission
Type
Original Article
Information
Cardiology in the Young , First View , pp. 1 - 5
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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