Platelet Function at the Intersection of COVID-19 Cytokines and Mechanical Circulatory Support: A Closed Loop in Vitro Study
Year: 2021
Type: article
Abstract: Study: In the Mountain West, there is less access to centers that provide advanced heart failure therapy (AHFT) such as mechanical circulatory support (MCS) and heart transplantation. Many patients in the broader areas of New Mexico may be unaware of AHFT treatment options. They have to travel great distances and across state lines for AHFT with additional fears related to the COVID-19 pandemic. In order to overcome these obstacles, we initiated a virtual collaborative shared-care (VCSC) model for underserved patient populations. Methods: The University of Utah AHF program began virtually collaborating with a private cardiology practice in Albuquerque, New Mexico. This collaboration involved meeting monthly virtually in clinic for early identification and safe implementation of treatment strategies for patients with AHF in the setting of a pandemic. This clinic allowed a MCS nurse and AHF cardiologist to remotely connect and consult with the New Mexico cardiologist and prospective patients. Results: In these VCSC clinics, we achieved joint patient care planning safely and efficiently during the pandemic. Potential AHFT patients were identified earlier in their disease process and enhanced trust and understanding was fostered between providers and patients. A total of 20 AHF patients were evaluated. Two patients received successful elective durable MCS implantation. Two patients were identified and began evaluation for heart transplantation. The remaining patients are being closely followed through VCSC. Since the COVID-19 pandemic outbreak in the United States, we have used this VCSC approach to reach underserved patients. This approach demonstrates shared effort to deliver efficient and effective care to underserved patient population that may benefit from AHFT. Future efforts to utilize VCSC clinics should be considered, and additional research is needed to assess patient and provider satisfaction of this approach.
Authors: A. M. Washenko, R. L. Mayberry, J. Loftis, SARAH N HOMER, Elin Schold Davis, Meghan Berry, M. A. Nelson, Steven Ung, J. K. Magish, William H. Perry, Craig H. Selzman, Omar Wever‐Pinzon, Josef Stehlik, Khushee Shah, Stavros G. Drakos, Michelle S.C. Khoo
Language: English
Subfield: Biomedical Engineering
Field: Engineering
Domain: Physical Sciences
Open Access status: green
OpenAlex ID: W3174094585