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. Author manuscript; available in PMC: 2019 Jul 1.
Published in final edited form as: Am Heart J. 2018 Apr 6;201:77–85. doi: 10.1016/j.ahj.2018.04.006

Table 5.

Adjusted total, pre-, and post-transplant hospitalization costs based on VAD type

N (%) Median (IQR) p-value*
Total cost 470 (100%) $755,345 ($580,149 - $1,059,854) -

  Device Type
    Pulsatile 291 (61.9%) $802,081 ($622,525 - $1,134,111)
    Continuous Flow 128 (27.2%) $645,452 ($493,864 - $914,146) <0.001
    Other/Unspecified 51 (10.9%) $788,114 ($572,323 - $1,174,256)
  Ventricular Support
    LVAD Only 326 (69.4%) $757,225 ($580,018 - $1,070,857)
    BiVAD 102 (21.7%) $742,364 ($581,739 - $1,149,024) 0.824
    Other/Unspecified 42 (8.9%) $787,581 ($571,696 - $958,182)

Pre-transplant costs 470 (100%) $420,636 ($307,009 - $629,622) -

  Device Type
    Pulsatile 291 (61.9%) $471,315 ($344,898 - $708,881)
    Continuous Flow 128 (27.2%) $333,745 ($232,198 - $463,225) <0.001
    Other/Unspecified 51 (10.9%) $421,844 ($284,887 - $665,486)
  Ventricular Support
    LVAD Only 326 (69.4%) $435,600 ($317,010 - $650,728)
    BiVAD 102 (21.7%) $390,890 ($282,342 - $646,520) 0.383
    Other/Unspecified 42 (8.9%) $408,044 ($298,648 - $568,420)

Post-transplant costs 470 (100%) $329,198 ($264,426 - $442,113) -

  Device Type
    Pulsatile 291 (61.9%) $328,443 ($269,194 - $448,250)
    Continuous Flow 128 (27.2%) $308,025 ($260,492 - $424,569) 0.181
    Other/Unspecified 51 (10.9%) $356,339 ($274,761 - $471,299)
  Ventricular Support
    LVAD Only 326 (69.4%) $317,481 ($262,035 - $436,904)
    BiVAD 102 (21.7%) $378,736 ($282,637 - $472,461) 0.047
    Other/Unspecified 42 (8.9%) $350,867 ($281,315 - $402,451)
*

p-values from the Wilcoxon rank sum test comparing pulsatile to continuous flow VAD and LVAD to BiVAD

Cost expressed as median (interquartile range), inflated to 2016 dollars

Variables included in risk-adjustment model:
  • Age, diagnosis, race, blood type, hospital, ECMO (pre- or post-transplant), VAD, ventilator, inotropic support, ICU LOS, transplant year, need for dialysis post-transplant