scholarly journals Patients and informal caregivers' experience of surgical and transcatheter aortic valve replacement: Real‐world data contributing to establish value‐based medicine in Denmark

2019 ◽  
Vol 42 (4) ◽  
pp. 444-451 ◽  
Author(s):  
Liesbeth Rosseel ◽  
Gintautas Bieliauskas ◽  
Bente B. Brodersen ◽  
Peter S. Olsen ◽  
Lars Søndergaard ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Real World ◽  
Transcatheter Aortic Valve Replacement ◽  
Informal Caregivers ◽  
Real World Data ◽  
World Data ◽  
Transcatheter Aortic Valve ◽  
Based Medicine

Trends in Early Discharge and Associated Costs after Transcatheter Aortic Valve Replacement: A National Perspective

2021 ◽  
pp. 155698452110133
Author(s):  
Alexis K. Okoh ◽  
Emaad Siddiqui ◽  
Cassandra Soto ◽  
Nehal Dhaduk ◽  
Sameer Hirji ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Cost Effective ◽  
Early Discharge ◽  
Real World Data ◽  
Transcatheter Aortic Valve ◽  
Nationally Representative ◽  
National Perspective

Objective The current study aims to report trends of early discharges and identify associated direct costs using a nationally representative database of real-world data experience. Methods We used nationally weighted data on all patients who had transfemoral transcatheter aortic valve replacement (TAVR) from 2012 to 2017 and discharged alive from the National Inpatient Sample. Patients were divided into early (discharge ≤3 days of admission) and late discharge. Demographics and clinical characteristics were compared. Trends in early discharge and costs associated with admissions were analyzed over the study period. Results Of the 125,188 patients identified, 59,424 (46.9%) were discharged early. The proportion of early discharge increased from 15% in early 2012 to 68% in late 2017 ( P < 0.001), with the largest increase occurring from 2014 to 2015. Overall, the average cost of TAVR decreased from $58,408 in 2012 to $49,875 in 2017 ( P < 0.001). Compared to late discharge, patients discharged early reported costs savings of ≥$20,000 over the study period. Among the early discharge group, no significant differences in costs were observed for patients discharged on 0 to 1, 2, or 3 days after the procedure. Conclusions Postoperative length of stay after TAVR has decreased dramatically within the last decade with an observed reduction in procedural costs. While discharge within 3 days appeared cost effective, no differences in costs were noted among patients discharged ≤3 days.

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