Background

Not much is known about psychosocial characteristics of men and women receiving continuous flow left ventricular assist devices (CF LVAD).

Objective

To investigate gender differences in clinical and psychosocial (demographic, behavioral, psychological) characteristics in CF LVAD recipients.

Methods

We analyzed European Registry for Patients with Mechanical Circulatory Support (EUROMACS) data (N=2395, 16.8% women; 2011 to 2017) and compared pre-implant characteristics in men and women intended for bridge-to-transplant (BTT) or destination therapy (DT).

Results

Women were underrepresented [DT (n=61): 13.4%; BTT (n=341): 17.6%]. They were more likely to be divorced/separated, widowed, in unstable clinical condition, and non-working (DT only), but less likely to be smokers, to have ischemic cardiomyopathy or diabetes, and younger (BTT only) than men. Missing data were abundant, especially those that reflect psychological characteristics (>87%).

Conclusion

Gender differences were noted, some specific to device strategy. Improved collection of psychosocial characteristics is warranted to elucidate their relationship to future prognosis.

中文翻译：

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欧洲机械循环支持患者登记处的社会心理和临床特征的性别差异

背景

关于接受连续流左心室辅助装置 (CF LVAD) 的男性和女性的社会心理特征知之甚少。

客观的

调查 CF LVAD 接受者的临床和社会心理（人口统计学、行为、心理）特征的性别差异。

方法

我们分析了欧洲机械循环支持患者登记处 (EUROMACS) 数据（N = 2395，女性占 16.8%；2011 年至 2017 年），并比较了拟进行桥接移植 (BTT) 或目的地治疗的男性和女性的植入前特征(DT)。

结果

女性代表人数不足 [DT ( n = 61)：13.4%；BTT ( n = 341)：17.6%]。与男性相比，他们更有可能离婚/分居、丧偶、临床状况不稳定和不工作（仅限 DT），但吸烟、患有缺血性心肌病或糖尿病以及更年轻（仅限 BTT）的可能性更小。缺失的数据很多，尤其是那些反映心理特征的数据（>87%）。

结论

注意到了性别差异，一些特定于设备策略。有必要改进社会心理特征的收集，以阐明它们与未来预后的关系。