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
- Age, diagnosis, race, blood type, hospital, ECMO (pre- or post-transplant), VAD, ventilator, inotropic support, ICU LOS, transplant year, need for dialysis post-transplant