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Review
. 2012 Oct;17(5):558-63.
doi: 10.1097/MOT.0b013e3283564f45.

Psychosocial factors and quality-of-life after heart transplantation and mechanical circulatory support

Emily M Rosenberger  1 , Kristen R Fox, Andrea F DiMartini, Mary Amanda Dew
Affiliations
Review

Psychosocial factors and quality-of-life after heart transplantation and mechanical circulatory support

Emily M Rosenberger et al. Curr Opin Organ Transplant. 2012 Oct.

Abstract

Purpose of review: Psychosocial outcomes and quality-of-life (QOL) are important indicators of the success of heart transplantation and mechanical circulatory support (MCS). They warrant further research attention given the increasing frequency of these interventions and the diverse uses of MCS as destination therapy and bridge to transplant.

Recent findings: The literature has continued to identify correlates and predictors of psychosocial outcomes in five domains: physical functioning, psychological, behavioral, social functioning and global QOL. These issues in MCS patients, in particular, are receiving increased attention. Recent work also highlights the potential for psychosocial outcomes to predict transplant-related and MCS-related clinical outcomes, and also emphasizes issues involved in heart transplantation for older adults, heart transplantation for intellectually disabled individuals, and managing end-of-life planning in patients with MCS.

Summary: This field continues to be dominated by descriptive studies. Although recent work has provided a more complete picture of correlates of psychosocial outcomes, there is a need for intervention research to examine strategies to optimize these outcomes in both heart transplant and MCS populations. Clinicians should continue to monitor and address psychosocial issues with their patients in order to achieve posttransplant and postimplantation success that prolongs both quantity and QOL.

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Conflict of interest statement

Conflicts of interest

There are no conflicts of interest.

References

    1. Cupples S, Dew MA, Grady KL, et al. Report of the Psychosocial Outcomes Workgroup of the Nursing and Social Sciences Council of the International Society for Heart and Lung Transplantation: present status of research on psychosocial outcomes in cardiothoracic transplantation: review and recommendations for the field. J Heart Lung Transplant. 2006;25:716–725. - PubMed
    1. Grady KL, Dew MA. Psychosocial and quality of life issues in mechanical circulatory support. In: Kormos RL, Miller LW, editors. Mechanical circulatory support: a companion to Braunwald’s Heart Disease. Philadelphia: Saunders; 2011. pp. 194–205.
    1. Brouwers C, Denollet J, de Jonge N, et al. Patient-reported outcomes in left ventricular assist device therapy: a systematic review and recommendations for clinical research and practice. Circ Heart Fail. 2011;4:714–723. - PubMed
    1. Swetz KM, Ottenberg AL, Freeman MR, Mueller PS. Palliative care and end-of-life issues in patients treated with left ventricular assist devices as destination therapy. Curr Heart Fail Rep. 2011;8:212–218. - PubMed
    1. Bogaev RC, Pamboukian SV, Moore SA, et al. Comparison of outcomes in women versus men using a continuous-flow left ventricular assist device as a bridge to transplantation. J Heart Lung Transplant. 2011;30:515–522. - PubMed

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