scholarly journals STANDARDIZED CARE TO REDUCE LENGTH OF STAY AND FACILITATE EARLY DISCHARGE HOME AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION: IMPLEMENTATION OF THE VANCOUVER CLINICAL PATHWAY

2015 ◽  
Vol 31 (10) ◽  
pp. S115
Author(s):  
S.B. Lauck ◽  
D.A. Wood ◽  
J. Baumbusch ◽  
J.Y. Kwon ◽  
J. Polderman ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Length Of Stay ◽  
Transcatheter Aortic Valve Implantation ◽  
Clinical Pathway ◽  
Early Discharge ◽  
Transcatheter Aortic Valve ◽  
Discharge Home ◽  
Aortic Valve Implantation ◽  
Valve Implantation ◽  
Standardized Care

scholarly journals PREDICTORS OF EARLY DISCHARGE HOME AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION

2017 ◽  
Vol 69 (11) ◽  
pp. 1244
Author(s):  
Sagar Mallikethi-Reddy ◽  
Naveen Trehan ◽  
Shanker Kundumadam ◽  
Aditya Sood ◽  
Rajeev Sudhakar ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Early Discharge ◽  
Transcatheter Aortic Valve ◽  
Discharge Home ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Referring hospital involvement in early discharge post transcatheter aortic valve implantation: the TAVI (R-) EXPRES program

2022 ◽  
Author(s):  
Maarten P. van Wiechen ◽  
Marjo J. de Ronde-Tillmans ◽  
Nicolas M. Van Mieghem
Keyword(s):  
Aortic Valve ◽  
Length Of Stay ◽  
Transcatheter Aortic Valve Implantation ◽  
Severe Aortic Stenosis ◽  
Early Discharge ◽  
Median Length ◽  
Transcatheter Aortic Valve ◽  
Referral Hospitals ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Aim: Over the past decade, transcatheter aortic valve implantation (TAVI) has matured into a valid treatment strategy for elderly patients with severe aortic stenosis. TAVI programs will grow with its adoption in low-risk patients. The aim of this study was to evaluate safety and feasibility of early discharge protocols, either home or back to a referring hospital. Methods: Consecutive patients undergoing TAVI between July 2017 and July 2019 were stratified into three discharge pathways from TAVI center: (1) early home (EXPRES); (2) early transfer to referring hospital (R-EXPRES); and (3) routine discharge (standard). Baseline, procedural, and 30-day outcomes were prospectively collected and compared per discharge pathway. Results: In total, 22 (5%) patients were enrolled in the EXPRES cohort [median age 78 (IQR: 73-81); mean Society of Thoracic Surgeons (STS) 2.4% ± 1.5%], 121 (29%) in the R-EXPRES cohort [median age 81 (IQR: 77-84); mean STS 4.3% ± 2.8%], and 269 (65%) in the routine discharge cohort [median age 80 (IQR: 75-85); mean STS 4.4% ± 3.1%]. EXPRES patients trended to be younger (P = 0.13) and had lower STS (P = 0.02). Early clinical outcome was similar through the different pathways including re-hospitalization rate. Median length of stay was one day longer for R-EXPRES vs. routine discharge patients [5 (IQR: 4-7) vs. 4 (IQR: 3-6); P < 0.01]. Median length of stay (LOS) was two days (IQR: 1-3 days) for EXPRES patients. Conclusion: Early discharge pathways home and to referral hospitals are safe and help streamline TAVI programs. LOS in referring hospitals may be further reduced.

scholarly journals Clinical process optimization of transfemoral transcatheter aortic valve implantation

2020 ◽  
Author(s):  
Julia Lortz ◽  
Tobias Peter Lortz ◽  
Laura Johannsen ◽  
Christos Rammos ◽  
Martin Steinmetz ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Length Of Stay ◽  
Transcatheter Aortic Valve Implantation ◽  
Time Range ◽  
Major Goal ◽  
Clinical Process ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Prolonged Hospital ◽  
Valve Implantation

Background: The avoidance of prolonged hospital stay is a major goal in the management of transcatheter aortic valve implantation (TAVI) – medically and economically. Materials & methods: We compared the time range of the preprocedural length of stay in 2014/2015 with 2016/2017, after the implementation of the TAVI coordinator in 2016. This included restructured pathways for screening and pre-interventional diagnosis, performed examinations during the inpatient stay and major outcome variables. Results: After 2016, we observed a significant reduction in preprocedural length of stay (admission to procedure) compared with 2014/2015 (11.3 ± 7.9 vs 7.5 ± 5.6 days, p = 0.001). There was no difference in other major outcome variables. Conclusion: The introduction of the TAVI coordinator caused a shortening of preprocedural length of stay.

scholarly journals Predictors of length of stay and duration of tracheal intubation after transcatheter aortic valve implantation

2017 ◽  
Vol 9 (4) ◽  
pp. 1012-1022
Author(s):  
Vasileios Patris ◽  
Konstantinos Giakoumidakis ◽  
Mihalis Argiriou ◽  
Katerina K. Naka ◽  
Efstratios Apostolakis ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Length Of Stay ◽  
Tracheal Intubation ◽  
Transcatheter Aortic Valve Implantation ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation
Sign in / Sign up

Export Citation Format

Share Document