Journal article
Influence of same-day admission on outcomes following transcatheter aortic valve replacement
Journal of cardiac surgery, Vol.31(10), pp.608-616
10/2016
DOI: 10.1111/jocs.12819
PMID: 27572827
Abstract
Since elective transcatheter aortic valve replacements (TAVRs) can be performed on the day of admission, i.e., Day 0, or on the next day of admission, i.e., Day 1, we sought to investigate if there is an advantage to either approach.
We performed a retrospective cohort study, using the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample database of 2012 and identified subjects undergoing endovascular (Transfemoral/Transaortic) TAVRs using the ICD-9-CM procedure code of 35.05. The cohort was divided based on the day of the TAVR performed, i.e., Day 0 or 1. The cost of the hospitalization and length of stay were the primary outcomes, with in-hospital mortality and procedural complications as the secondary outcomes. We identified a total of 843 TAVRs. Propensity matched models were created. The mean age of the study cohort was 82 years.
In a propensity-matched dataset, TAVRs performed on Day 0 were associated with a lower cost ($51,126 ± 1184 vs $57,703 ± 1508, p < 0.0001) and length of stay (mean days, standard error: 5.87 ± 0.25 vs 7.20 ± 0.29, p < 0.001) compared to Day 1. In-hospital mortality plus complication rates were relatively similar with no difference between Days 0 and 1 (31.5% vs 34.1%, p = 0.47, respectively).
Endovascular TAVRs performed on the same day of admission are associated with lower hospitalization costs and length of stay, and similar mortality and complication rates compared to those performed on the next day of admission.
Details
- Title: Subtitle
- Influence of same-day admission on outcomes following transcatheter aortic valve replacement
- Creators
- Samir V Patel - Department of Internal Medicine, Western Reserve Health Education, Youngstown, OhioSunny Jhamnani - Department of Cardiology, The Everett Clinic, Everett, WashingtonPalak Patel - Department of Internal Medicine, Western Reserve Health Education, Youngstown, OhioRajesh Sonani - Department of Internal Medicine, Brandon Regional Hospital, Brandon, FloridaChirag Savani - Department of Internal Medicine, New York Medical College, Valhalla, New YorkNilay Patel - Department of Internal Medicine, Saint Peter's University Hospital, New Brunswick, New JerseyNileshkumar J Patel - Department of Cardiology, Borgess Medical Center, Kalamazoo, MichiganSidakpal S Panaich - Department of Cardiology, University of Miami Miller School of Medicine, Miami, FloridaMihir Patel - Department of Internal Medicine, Christus Highland Medical Center, Shreveport, LouisianaSchreiber Theodore - Department of Cardiology, Detroit Medical Center, Detroit, MichiganCindy Grines - Department of Cardiology, Detroit Medical Center, Detroit, MichiganApurva O Badheka - Department of Cardiology, The Everett Clinic, Everett, Washington. apurva_badheka@yahoo.com
- Resource Type
- Journal article
- Publication Details
- Journal of cardiac surgery, Vol.31(10), pp.608-616
- DOI
- 10.1111/jocs.12819
- PMID
- 27572827
- ISSN
- 0886-0440
- eISSN
- 1540-8191
- Language
- English
- Date published
- 10/2016
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094382602771
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