{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:29:57Z","timestamp":1753878597072,"version":"3.41.2"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Frailty portends worse outcomes for patients with advanced heart failure (HF) undergoing surgical advanced therapies. Falls are characteristic of frailty, but it is unknown if the history of falls predicts post\u2010operative risk. We hypothesized that a one\u2010item fall screening is associated with worse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study of all patients undergoing orthotopic heart transplantation (OHT) or left ventricular assist device (LVAD) implantation at our institution between 2020 and 2023. Our primary exposure of interest was falls, as assessed by a nursing questionnaire within 12 months or less prior to surgery. We tracked hospital\u2010 and ICU\u2010length of stay, duration of mechanical ventilator use, renal replacement therapy (RRT), and survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>History of falls was associated with prolonged mechanical support (mean difference: +1.5 days, <jats:italic>p<\/jats:italic> = 0.002), prolonged ICU stay (mean difference: +13 days, <jats:italic>p<\/jats:italic> = 0.03), and prolonged hospital stay (mean difference: +17 days, <jats:italic>p<\/jats:italic> = 0.03). Patients with a history of falls also had a higher rate of needing RRT in the 90 days following surgery (adjusted HR: 4.7, 95% CI 1.1\u201320, <jats:italic>p<\/jats:italic> = 0.035). There were no differences in survival between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among patients with advanced HF undergoing OHT or LVAD, a simple one\u2010item nursing falls assessment is associated with clinically relevant worse outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.70146","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T11:35:46Z","timestamp":1744630546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Simple One\u2010Item Nursing Falls Assessment Predicts Outcomes for Patients With Stage D Heart Failure Undergoing Surgical Advanced Therapies"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7110-3634","authenticated-orcid":false,"given":"Vincent D.","family":"Salvador","sequence":"first","affiliation":[{"name":"University Hospitals Harrington Heart &amp; Vascular Institute  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime Abraham","family":"Perez","sequence":"additional","affiliation":[{"name":"University Hospitals Center for Clinical Research  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paige W.","family":"Hudec","sequence":"additional","affiliation":[{"name":"University Hospitals Harrington Heart &amp; Vascular Institute  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiran Z.","family":"Gorodeski","sequence":"additional","affiliation":[{"name":"University Hospitals Harrington Heart &amp; Vascular Institute  Cleveland Ohio USA"},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"IV","given":"Thomas","family":"JosephO'Neill","sequence":"additional","affiliation":[{"name":"University Hospitals Harrington Heart &amp; Vascular Institute  Cleveland Ohio USA"},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1001","article-title":"Frailty Is Intertwined With Heart Failure: Mechanisms, Prevalence, Prognosis, Assessment, and Management","volume":"7","author":"Pandey A.","year":"2019","journal-title":"Journal of the American College of Cardiology: Heart 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