A comparison of the health status and psychological distress of partners of patients with a left ventricular assist device versus an implantable cardioverter defibrillator: a preliminary study

Corline Brouwers, Kadir Caliskan, N de Jonge, Dominic A J M Theuns, A Constantinescu, Quincy-Robyn Young, Colleen Cannon, Johan Denollet, Susanne S Pedersen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD).

BACKGROUND: Partners distress may influence patient outcomes and is therefore an important aspect in the care of LVAD and ICD patients.

METHODS: Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years).

RESULTS: LVAD partners reported better physical (F = 10.71, p = .001) but poorer mental health status (F = 14.82, p < .001) and higher depression scores compared to ICD partners (F = 3.68, p = .05) at 6 months follow-up, also in adjusted analyses. There was no significant difference between groups on anxiety.

CONCLUSION: Caregivers of LVAD patients show higher distress levels compared to caregivers of ICD patients. LVAD partners may have a need for support beyond what is offered currently in clinical practice.

Original languageEnglish
Pages (from-to)27-32
Number of pages6
JournalHeart & lung : the journal of critical care
Volume44
Issue number1
DOIs
Publication statusPublished - 3 Dec 2014

Keywords

  • Adult
  • Aged
  • Anxiety
  • Caregivers
  • Defibrillators, Implantable
  • Female
  • Follow-Up Studies
  • Health Status
  • Heart-Assist Devices
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Stress, Psychological

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