Table 1:

Patient characteristics

OverallEra I (≤2014)Era II (≥2015)
(n = 461)(n = 181)(n = 280)P-value
Age (years)0.523
 Median (range)8 (0–19)9 (0–19)8 (0–19)
 Mean ± SD8.13 ± 6.538.37 ± 6.857.97 ± 6.32
Age categories (years), n (%)0.068
 <1 y90 (19.52)42 (23.20)48 (17.14)
 1–5 y110 (23.86)37 (20.44)73 (26.07)
 6–10 y68 (14.75)20 (11.05)48 (17.14)
 11–19 y193 (41.87)82 (45.30)111 (39.64)
Sex, n (%)0.663
 Male254 (55.10)102 (56.35)152 (54.29)
 Female207 (44.90)79 (43.65)128 (45.71)
Weight, n (%)0.102
 <5 kg40 (8.8)22 (12.15)18 (6.43)
 5–9 kg84 (18.22)37 (20.44)47 (16.79)
 10–20 kg95 (20.1)32 (17.68)63 (22.50)
 21–40 kg87 (18.87)29 (16.02)58 (20.71)
 41–70 kg108 (23.43)45 (24.86)63 (22.50)
 71–100 kg38 (8.24)15 (8.29)23 (8.21)
 >101 kg9 (1.95)1 (0.55)8 (2.86)
Body surface area (m2)0.076
 Median (range)0.86 (0–12.57)0.78 (0–2.93)0.89 (0–12.57)
 Mean ± SD0.99 ± 0.930.91 ± 0.641.05 ± 1.08
Body mass index (kg/m2)0.193
 Median (range)15.28 (0–127.31)15.05 (0–127.31)15.47 (0–37.65)
 Mean ± SD15.52 ± 8.3614.81 ± 11.1215.99 ± 5.81
Total bilirubin levels (mg/dl)0.33
 Median (range)0.48 (0–25)0.41 (0–25)0.52 (0–25)
 Mean ± SD1.21 ± 2.721.06 ± 2.531.31 ± 2.84
Creatinine (mg/dl)0.21
 Median (range)0 (0–2.5)0 (0 2.5)0 (0–1.6)
 Mean ± SD0.07 ± 0.250.09 ± 0.300.06 ± 0.21
Primary diagnosis, n (%)0.357
 Dilated cardiomyopathy247 (53.58)90 (49.72)157 (56.07))
 Congenital heart disease69 (14.97)33 (18.23)36 (12.86)
 Myocarditis65 (14.01)26 (14.36)39 (13.93)
 Restrictive cardiomyopathy20 (4.34)6 (3.31)14 (5.00)
 Hypertrophic cardiomyopathy5 (1.08)2 (1.10)3 (1.07)
 Valvular heart disease4 (0.87)4 (1.43)
 Cancer1 (0.22)1 (0.36)
 Unknown50 (10.85)24 (13.26)26 (9.29)
INTERMACS patient profile, n (%)0.255
 INTERMACS 1122 (26.52)51 (28.18)71 (25.36)
 INTERMACS 2228 (49.46)87 (48.07)141 (50.36)
 INTERMACS 367 (14.53)33 (18.23)34 (12.14)
 INTERMACS 421 (4.56)7 (3.87)14 (5.00)
 INTERMACS 5–712 (2.60)2 (1.10)10 (3.57)
 Unknown11 (2.39)1 (0.55)10 (3.57)
Number of inotropes, n (%)0.227
 053 (11.50)19 (10.50)34 (12.14)
 None—2225 (48.81)80 (44.20)145 (51.79)
 3–472 (15.62)33 (18.23)39 (13.93)
 ≥54 (0.87)3 (1.66)1 (0.36)
 Unknown107 (23.21)46 (25.41)61 (21.79)
Mechanical ventilation, n (%)125 (27.11)42 (23.20)83 (29.64)0.047
Circulatory support, n (%)
 IABP6 (1.30)4 (2.21)2 (0.71)0.228
 ECLS86 (18.66)27 (14.92)59 (21.07)0.043
Device type, n (%)0.002
 LVAD369 (80.04)133 (73.48)236 (84.29)
 RVAD10 (2.17)3 (1.66)7 (2.50)
 BiVAD77 (16.70)44 (24.31)33 (11.79)
 Total artificial heart2 (0.43)2 (0.71)
 Unknown3 (0.65)1 (0.55)2 (0.71)
Current device strategy, n (%)0.535
 Bridge to transplantation listed291 (63.12)113 (62.43)178 (63.57)
 Possible bridge to transplant117 (25.38)44 (24.31)73 (26.07)
 Destination therapy1 (0.22)1 (0.36)
 Bridge to recovery25 (5.42)12 (6.63)13 (4.64)
 Other23 (4.99)12 (6.63)11 (3.93)
 Unknown4 (0.87)4 (1.43)
Device Brand, n (%)0.000
 HeartAssist 52 (0.43)1 (0.55)1 (0.36)
 HeartMate II17 (3.69)13 (7.18)4 (1.43)
 HeartWare HVAD125 (27.11)40 (22.1)85 (30.36)
 HeartMate 319 (4.12)19 (6.79)
 HeartWare MVAD1 (0.22)1 (0.55)
 Berlin Heart INCOR3 (0.65)3 (1.07)
 Berlin Heart EXCOR246 (53.36)109 (60.22)137 (48.93)
 Thoratec PVAD5 (1.08)5 (2.76)
 Othera43 (9.33)12 (6.63)31 (11.07)
OverallEra I (≤2014)Era II (≥2015)
(n = 461)(n = 181)(n = 280)P-value
Age (years)0.523
 Median (range)8 (0–19)9 (0–19)8 (0–19)
 Mean ± SD8.13 ± 6.538.37 ± 6.857.97 ± 6.32
Age categories (years), n (%)0.068
 <1 y90 (19.52)42 (23.20)48 (17.14)
 1–5 y110 (23.86)37 (20.44)73 (26.07)
 6–10 y68 (14.75)20 (11.05)48 (17.14)
 11–19 y193 (41.87)82 (45.30)111 (39.64)
Sex, n (%)0.663
 Male254 (55.10)102 (56.35)152 (54.29)
 Female207 (44.90)79 (43.65)128 (45.71)
Weight, n (%)0.102
 <5 kg40 (8.8)22 (12.15)18 (6.43)
 5–9 kg84 (18.22)37 (20.44)47 (16.79)
 10–20 kg95 (20.1)32 (17.68)63 (22.50)
 21–40 kg87 (18.87)29 (16.02)58 (20.71)
 41–70 kg108 (23.43)45 (24.86)63 (22.50)
 71–100 kg38 (8.24)15 (8.29)23 (8.21)
 >101 kg9 (1.95)1 (0.55)8 (2.86)
Body surface area (m2)0.076
 Median (range)0.86 (0–12.57)0.78 (0–2.93)0.89 (0–12.57)
 Mean ± SD0.99 ± 0.930.91 ± 0.641.05 ± 1.08
Body mass index (kg/m2)0.193
 Median (range)15.28 (0–127.31)15.05 (0–127.31)15.47 (0–37.65)
 Mean ± SD15.52 ± 8.3614.81 ± 11.1215.99 ± 5.81
Total bilirubin levels (mg/dl)0.33
 Median (range)0.48 (0–25)0.41 (0–25)0.52 (0–25)
 Mean ± SD1.21 ± 2.721.06 ± 2.531.31 ± 2.84
Creatinine (mg/dl)0.21
 Median (range)0 (0–2.5)0 (0 2.5)0 (0–1.6)
 Mean ± SD0.07 ± 0.250.09 ± 0.300.06 ± 0.21
Primary diagnosis, n (%)0.357
 Dilated cardiomyopathy247 (53.58)90 (49.72)157 (56.07))
 Congenital heart disease69 (14.97)33 (18.23)36 (12.86)
 Myocarditis65 (14.01)26 (14.36)39 (13.93)
 Restrictive cardiomyopathy20 (4.34)6 (3.31)14 (5.00)
 Hypertrophic cardiomyopathy5 (1.08)2 (1.10)3 (1.07)
 Valvular heart disease4 (0.87)4 (1.43)
 Cancer1 (0.22)1 (0.36)
 Unknown50 (10.85)24 (13.26)26 (9.29)
INTERMACS patient profile, n (%)0.255
 INTERMACS 1122 (26.52)51 (28.18)71 (25.36)
 INTERMACS 2228 (49.46)87 (48.07)141 (50.36)
 INTERMACS 367 (14.53)33 (18.23)34 (12.14)
 INTERMACS 421 (4.56)7 (3.87)14 (5.00)
 INTERMACS 5–712 (2.60)2 (1.10)10 (3.57)
 Unknown11 (2.39)1 (0.55)10 (3.57)
Number of inotropes, n (%)0.227
 053 (11.50)19 (10.50)34 (12.14)
 None—2225 (48.81)80 (44.20)145 (51.79)
 3–472 (15.62)33 (18.23)39 (13.93)
 ≥54 (0.87)3 (1.66)1 (0.36)
 Unknown107 (23.21)46 (25.41)61 (21.79)
Mechanical ventilation, n (%)125 (27.11)42 (23.20)83 (29.64)0.047
Circulatory support, n (%)
 IABP6 (1.30)4 (2.21)2 (0.71)0.228
 ECLS86 (18.66)27 (14.92)59 (21.07)0.043
Device type, n (%)0.002
 LVAD369 (80.04)133 (73.48)236 (84.29)
 RVAD10 (2.17)3 (1.66)7 (2.50)
 BiVAD77 (16.70)44 (24.31)33 (11.79)
 Total artificial heart2 (0.43)2 (0.71)
 Unknown3 (0.65)1 (0.55)2 (0.71)
Current device strategy, n (%)0.535
 Bridge to transplantation listed291 (63.12)113 (62.43)178 (63.57)
 Possible bridge to transplant117 (25.38)44 (24.31)73 (26.07)
 Destination therapy1 (0.22)1 (0.36)
 Bridge to recovery25 (5.42)12 (6.63)13 (4.64)
 Other23 (4.99)12 (6.63)11 (3.93)
 Unknown4 (0.87)4 (1.43)
Device Brand, n (%)0.000
 HeartAssist 52 (0.43)1 (0.55)1 (0.36)
 HeartMate II17 (3.69)13 (7.18)4 (1.43)
 HeartWare HVAD125 (27.11)40 (22.1)85 (30.36)
 HeartMate 319 (4.12)19 (6.79)
 HeartWare MVAD1 (0.22)1 (0.55)
 Berlin Heart INCOR3 (0.65)3 (1.07)
 Berlin Heart EXCOR246 (53.36)109 (60.22)137 (48.93)
 Thoratec PVAD5 (1.08)5 (2.76)
 Othera43 (9.33)12 (6.63)31 (11.07)
a

Other: Jarvik 2000 (2), Berlin Heart Incor (3), HeartWare MVAD (1) and excluded temporary devices (37).

BiVAD: biventricular assist device; ECLS: extra corporeal life support; IABP: intra-aortic balloon pump; LVAD: left ventricular assist device; RVAD: right ventricular assist device; SD: standard deviation.

Table 1:

Patient characteristics

OverallEra I (≤2014)Era II (≥2015)
(n = 461)(n = 181)(n = 280)P-value
Age (years)0.523
 Median (range)8 (0–19)9 (0–19)8 (0–19)
 Mean ± SD8.13 ± 6.538.37 ± 6.857.97 ± 6.32
Age categories (years), n (%)0.068
 <1 y90 (19.52)42 (23.20)48 (17.14)
 1–5 y110 (23.86)37 (20.44)73 (26.07)
 6–10 y68 (14.75)20 (11.05)48 (17.14)
 11–19 y193 (41.87)82 (45.30)111 (39.64)
Sex, n (%)0.663
 Male254 (55.10)102 (56.35)152 (54.29)
 Female207 (44.90)79 (43.65)128 (45.71)
Weight, n (%)0.102
 <5 kg40 (8.8)22 (12.15)18 (6.43)
 5–9 kg84 (18.22)37 (20.44)47 (16.79)
 10–20 kg95 (20.1)32 (17.68)63 (22.50)
 21–40 kg87 (18.87)29 (16.02)58 (20.71)
 41–70 kg108 (23.43)45 (24.86)63 (22.50)
 71–100 kg38 (8.24)15 (8.29)23 (8.21)
 >101 kg9 (1.95)1 (0.55)8 (2.86)
Body surface area (m2)0.076
 Median (range)0.86 (0–12.57)0.78 (0–2.93)0.89 (0–12.57)
 Mean ± SD0.99 ± 0.930.91 ± 0.641.05 ± 1.08
Body mass index (kg/m2)0.193
 Median (range)15.28 (0–127.31)15.05 (0–127.31)15.47 (0–37.65)
 Mean ± SD15.52 ± 8.3614.81 ± 11.1215.99 ± 5.81
Total bilirubin levels (mg/dl)0.33
 Median (range)0.48 (0–25)0.41 (0–25)0.52 (0–25)
 Mean ± SD1.21 ± 2.721.06 ± 2.531.31 ± 2.84
Creatinine (mg/dl)0.21
 Median (range)0 (0–2.5)0 (0 2.5)0 (0–1.6)
 Mean ± SD0.07 ± 0.250.09 ± 0.300.06 ± 0.21
Primary diagnosis, n (%)0.357
 Dilated cardiomyopathy247 (53.58)90 (49.72)157 (56.07))
 Congenital heart disease69 (14.97)33 (18.23)36 (12.86)
 Myocarditis65 (14.01)26 (14.36)39 (13.93)
 Restrictive cardiomyopathy20 (4.34)6 (3.31)14 (5.00)
 Hypertrophic cardiomyopathy5 (1.08)2 (1.10)3 (1.07)
 Valvular heart disease4 (0.87)4 (1.43)
 Cancer1 (0.22)1 (0.36)
 Unknown50 (10.85)24 (13.26)26 (9.29)
INTERMACS patient profile, n (%)0.255
 INTERMACS 1122 (26.52)51 (28.18)71 (25.36)
 INTERMACS 2228 (49.46)87 (48.07)141 (50.36)
 INTERMACS 367 (14.53)33 (18.23)34 (12.14)
 INTERMACS 421 (4.56)7 (3.87)14 (5.00)
 INTERMACS 5–712 (2.60)2 (1.10)10 (3.57)
 Unknown11 (2.39)1 (0.55)10 (3.57)
Number of inotropes, n (%)0.227
 053 (11.50)19 (10.50)34 (12.14)
 None—2225 (48.81)80 (44.20)145 (51.79)
 3–472 (15.62)33 (18.23)39 (13.93)
 ≥54 (0.87)3 (1.66)1 (0.36)
 Unknown107 (23.21)46 (25.41)61 (21.79)
Mechanical ventilation, n (%)125 (27.11)42 (23.20)83 (29.64)0.047
Circulatory support, n (%)
 IABP6 (1.30)4 (2.21)2 (0.71)0.228
 ECLS86 (18.66)27 (14.92)59 (21.07)0.043
Device type, n (%)0.002
 LVAD369 (80.04)133 (73.48)236 (84.29)
 RVAD10 (2.17)3 (1.66)7 (2.50)
 BiVAD77 (16.70)44 (24.31)33 (11.79)
 Total artificial heart2 (0.43)2 (0.71)
 Unknown3 (0.65)1 (0.55)2 (0.71)
Current device strategy, n (%)0.535
 Bridge to transplantation listed291 (63.12)113 (62.43)178 (63.57)
 Possible bridge to transplant117 (25.38)44 (24.31)73 (26.07)
 Destination therapy1 (0.22)1 (0.36)
 Bridge to recovery25 (5.42)12 (6.63)13 (4.64)
 Other23 (4.99)12 (6.63)11 (3.93)
 Unknown4 (0.87)4 (1.43)
Device Brand, n (%)0.000
 HeartAssist 52 (0.43)1 (0.55)1 (0.36)
 HeartMate II17 (3.69)13 (7.18)4 (1.43)
 HeartWare HVAD125 (27.11)40 (22.1)85 (30.36)
 HeartMate 319 (4.12)19 (6.79)
 HeartWare MVAD1 (0.22)1 (0.55)
 Berlin Heart INCOR3 (0.65)3 (1.07)
 Berlin Heart EXCOR246 (53.36)109 (60.22)137 (48.93)
 Thoratec PVAD5 (1.08)5 (2.76)
 Othera43 (9.33)12 (6.63)31 (11.07)
OverallEra I (≤2014)Era II (≥2015)
(n = 461)(n = 181)(n = 280)P-value
Age (years)0.523
 Median (range)8 (0–19)9 (0–19)8 (0–19)
 Mean ± SD8.13 ± 6.538.37 ± 6.857.97 ± 6.32
Age categories (years), n (%)0.068
 <1 y90 (19.52)42 (23.20)48 (17.14)
 1–5 y110 (23.86)37 (20.44)73 (26.07)
 6–10 y68 (14.75)20 (11.05)48 (17.14)
 11–19 y193 (41.87)82 (45.30)111 (39.64)
Sex, n (%)0.663
 Male254 (55.10)102 (56.35)152 (54.29)
 Female207 (44.90)79 (43.65)128 (45.71)
Weight, n (%)0.102
 <5 kg40 (8.8)22 (12.15)18 (6.43)
 5–9 kg84 (18.22)37 (20.44)47 (16.79)
 10–20 kg95 (20.1)32 (17.68)63 (22.50)
 21–40 kg87 (18.87)29 (16.02)58 (20.71)
 41–70 kg108 (23.43)45 (24.86)63 (22.50)
 71–100 kg38 (8.24)15 (8.29)23 (8.21)
 >101 kg9 (1.95)1 (0.55)8 (2.86)
Body surface area (m2)0.076
 Median (range)0.86 (0–12.57)0.78 (0–2.93)0.89 (0–12.57)
 Mean ± SD0.99 ± 0.930.91 ± 0.641.05 ± 1.08
Body mass index (kg/m2)0.193
 Median (range)15.28 (0–127.31)15.05 (0–127.31)15.47 (0–37.65)
 Mean ± SD15.52 ± 8.3614.81 ± 11.1215.99 ± 5.81
Total bilirubin levels (mg/dl)0.33
 Median (range)0.48 (0–25)0.41 (0–25)0.52 (0–25)
 Mean ± SD1.21 ± 2.721.06 ± 2.531.31 ± 2.84
Creatinine (mg/dl)0.21
 Median (range)0 (0–2.5)0 (0 2.5)0 (0–1.6)
 Mean ± SD0.07 ± 0.250.09 ± 0.300.06 ± 0.21
Primary diagnosis, n (%)0.357
 Dilated cardiomyopathy247 (53.58)90 (49.72)157 (56.07))
 Congenital heart disease69 (14.97)33 (18.23)36 (12.86)
 Myocarditis65 (14.01)26 (14.36)39 (13.93)
 Restrictive cardiomyopathy20 (4.34)6 (3.31)14 (5.00)
 Hypertrophic cardiomyopathy5 (1.08)2 (1.10)3 (1.07)
 Valvular heart disease4 (0.87)4 (1.43)
 Cancer1 (0.22)1 (0.36)
 Unknown50 (10.85)24 (13.26)26 (9.29)
INTERMACS patient profile, n (%)0.255
 INTERMACS 1122 (26.52)51 (28.18)71 (25.36)
 INTERMACS 2228 (49.46)87 (48.07)141 (50.36)
 INTERMACS 367 (14.53)33 (18.23)34 (12.14)
 INTERMACS 421 (4.56)7 (3.87)14 (5.00)
 INTERMACS 5–712 (2.60)2 (1.10)10 (3.57)
 Unknown11 (2.39)1 (0.55)10 (3.57)
Number of inotropes, n (%)0.227
 053 (11.50)19 (10.50)34 (12.14)
 None—2225 (48.81)80 (44.20)145 (51.79)
 3–472 (15.62)33 (18.23)39 (13.93)
 ≥54 (0.87)3 (1.66)1 (0.36)
 Unknown107 (23.21)46 (25.41)61 (21.79)
Mechanical ventilation, n (%)125 (27.11)42 (23.20)83 (29.64)0.047
Circulatory support, n (%)
 IABP6 (1.30)4 (2.21)2 (0.71)0.228
 ECLS86 (18.66)27 (14.92)59 (21.07)0.043
Device type, n (%)0.002
 LVAD369 (80.04)133 (73.48)236 (84.29)
 RVAD10 (2.17)3 (1.66)7 (2.50)
 BiVAD77 (16.70)44 (24.31)33 (11.79)
 Total artificial heart2 (0.43)2 (0.71)
 Unknown3 (0.65)1 (0.55)2 (0.71)
Current device strategy, n (%)0.535
 Bridge to transplantation listed291 (63.12)113 (62.43)178 (63.57)
 Possible bridge to transplant117 (25.38)44 (24.31)73 (26.07)
 Destination therapy1 (0.22)1 (0.36)
 Bridge to recovery25 (5.42)12 (6.63)13 (4.64)
 Other23 (4.99)12 (6.63)11 (3.93)
 Unknown4 (0.87)4 (1.43)
Device Brand, n (%)0.000
 HeartAssist 52 (0.43)1 (0.55)1 (0.36)
 HeartMate II17 (3.69)13 (7.18)4 (1.43)
 HeartWare HVAD125 (27.11)40 (22.1)85 (30.36)
 HeartMate 319 (4.12)19 (6.79)
 HeartWare MVAD1 (0.22)1 (0.55)
 Berlin Heart INCOR3 (0.65)3 (1.07)
 Berlin Heart EXCOR246 (53.36)109 (60.22)137 (48.93)
 Thoratec PVAD5 (1.08)5 (2.76)
 Othera43 (9.33)12 (6.63)31 (11.07)
a

Other: Jarvik 2000 (2), Berlin Heart Incor (3), HeartWare MVAD (1) and excluded temporary devices (37).

BiVAD: biventricular assist device; ECLS: extra corporeal life support; IABP: intra-aortic balloon pump; LVAD: left ventricular assist device; RVAD: right ventricular assist device; SD: standard deviation.

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