THE SAFTEY OF EARLY DISCHARGE FOLLOWING TRANSCATHETER AORTIC VALVE REPLACEMENT AMONG PATIENTS IN NORTHERN ONTARIO AND RURAL AREAS UTILIZING THE VANCOUVER 3M TAVR STUDY CLINICAL PATHWAY

2020 ◽  
Vol 36 (10) ◽  
pp. S37
Author(s):  
S. Alnasser ◽  
D. MacDonald ◽  
R. Atoui ◽  
M. Shurrab ◽  
A. Alqahtani ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Clinical Pathway ◽  
Rural Areas ◽  
Transcatheter Aortic Valve Replacement ◽  
Early Discharge ◽  
Northern Ontario ◽  
Transcatheter Aortic Valve

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.

scholarly journals SAFETY OF EARLY DISCHARGE AFTER MINIMALIST TRANSCATHETER AORTIC VALVE REPLACEMENT

2015 ◽  
Vol 65 (10) ◽  
pp. A1882
Author(s):  
Jose Francisco Condado Contreras ◽  
Hanna A. Jensen ◽  
Vinod Thourani ◽  
Stamatios Lerakis ◽  
Kreton Mavromatis ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Early Discharge ◽  
Transcatheter Aortic Valve
Sign in / Sign up

Export Citation Format

Share Document