Comparison of Causes and Associated Costs of 30-Day Readmission of Transcatheter Implantation Versus Surgical Aortic Valve Replacement in the United States (A National Readmission Database Study)
Autor: | Dhaval Kolte, Abdur Rahman Khan, Verghese Mathew, J. Dawn Abbott, Glenn A. Hirsch, Ajay J. Kirtane, Avnish Tripathi, Gregg C. Fonarow, Arti Saraswat, Deepak L. Bhatt, Michael P. Flaherty, Harleen Chahil, Sammy Elmariah |
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Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Time Factors Population 030204 cardiovascular system & hematology Patient Readmission Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Aortic valve replacement Internal medicine medicine Humans Registries 030212 general & internal medicine Hospital Costs education Healthcare Cost and Utilization Project Aged Retrospective Studies Aged 80 and over Heart Valve Prosthesis Implantation education.field_of_study business.industry Retrospective cohort study Aortic Valve Stenosis Odds ratio Middle Aged medicine.disease United States Confidence interval Aortic valve stenosis Propensity score matching Costs and Cost Analysis Cardiology Female Cardiology and Cardiovascular Medicine business |
Zdroj: | The American Journal of Cardiology. 122:431-439 |
ISSN: | 0002-9149 |
DOI: | 10.1016/j.amjcard.2018.04.024 |
Popis: | Our current knowledge about comparative differences in 30-day readmissions and the impact of readmissions on overall costs after transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) is largely derived from clinical trials. The objectives of this study were to compare readmissions and costs for TAVI and SAVR in a nationally representative population-based sample. The Healthcare Cost and Utilization Project's National Readmission Database was used for the study. Hierarchical multivariable regression analyses were used to examine differences in the propensity score 1:1 matched cohort. The matched cohort included 4,682 patients who survived index procedures done from January through November 2013. Compared with SAVR, the rate of 30-day readmission was not significantly different for endovascular TAVI (16% vs 18%; p = 0.19); and was higher for the transapical TAVI (22% vs 17%; p |
Databáze: | OpenAIRE |
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