Ventricular Assist Device (VAD) Infection Prevention Survey
NCT03843021 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 208
Last updated 2023-07-14
Summary
Annually, more than 250,000 patients in the U.S. with end-stage heart failure stand to benefit from ventricular assist device (VAD) therapy. 60% of patients develop a healthcare-associated infection (HAI) within 90-days of implantation. The investigators long term goal is to develop and subsequently promote wide-scale adoption of evidence-based HAI prevention practices following durable VAD implantation.
This will be done by addressing the following aims:
Aim 1. Identify determinants of center-level variability in HAI rates. Aim 2. Develop a comprehensive understanding of barriers and facilitators for achieving low center HAI rates.
Aim 3. Develop, iteratively enhance, and disseminate a best practices toolkit for preventing HAIs that accommodates various center contexts.
The investigators will use a focused survey of U.S. VAD centers to identify determinants of center variation in 90-day HAI rates:
* Process Factors (e.g., intranasal mupirocin),
* Provider Factors (e.g., surgeon technique),
* Device Factors (e.g., centrifugal vs. axial),
* Center Factors (e.g., provider communication).
Understanding the barriers and facilitators within individual centers for maximizing adoption of prevention measures would serve as the foundation for targeted improvement strategies. Without this knowledge, evidence-based, action-oriented recommendations will have limited local adoption and ultimately effectiveness in preventing HAIs after VAD implantation.
Conditions
- Heart Failure
- Healthcare Associated Infection
- Ventricular Assist Device
Interventions
- OTHER
-
VAD Infection Prevention Survey
Healthcare providers caring for VAD Therapy recipients will answer questions regarding processes of care at their institutions.
Sponsors & Collaborators
-
Agency for Healthcare Research and Quality (AHRQ)
collaborator FED - lead OTHER
Principal Investigators
-
Donald S Likosky, Ph.D. · University of Michigan
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-05-29
- Primary Completion
- 2022-12-23
- Completion
- 2022-12-23
Countries
- United States
Study Locations
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