The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes.

TAVI coordinator patient pathways patient safety transcatheter aortic valve implantation

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
23 Feb 2022
Historique:
received: 12 01 2022
revised: 15 02 2022
accepted: 19 02 2022
entrez: 10 3 2022
pubmed: 11 3 2022
medline: 11 3 2022
Statut: epublish

Résumé

The transcatheter aortic valve implantation (TAVI) treatment pathway is complex, leading to procedure-related delays. Dedicated TAVI coordinators can improve pathway efficiency. COORDINATE was a pilot observational prospective registry at three German centers that enrolled consecutive elective patients with severe aortic stenosis undergoing TAVI to investigate the impact a TAVI coordinator program. Pathway parameters and clinical outcomes were assessed before (control group) and after TAVI coordinator program implementation (intervention phase). The number of repeated diagnostics remained unchanged after implementation. Patients with separate hospitalizations for screening and TAVI had long delays, which increased after implementation (65 days pre- vs. 103 days post-implementation); hospitalizations combining these were more efficient. The mean time between TAVI and hospital discharge remained constant. Nurse (

Identifiants

pubmed: 35268296
pii: jcm11051205
doi: 10.3390/jcm11051205
pmc: PMC8910867
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Edwards Lifesciences (Switzerland)
ID : N/A

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Auteurs

Katja Bohmann (K)

Cardiothoracic Surgery Department, Heart and Vessel Center Bad Bevensen, 29549 Bad Bevensen, Germany.

Christof Burgdorf (C)

Cardiology Department, Heart and Vessel Center Bad Bevensen, 29549 Bad Bevensen, Germany.

Tobias Zeus (T)

Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.

Michael Joner (M)

German Heart Center Munich, 80636 Munich, Germany.

Héctor Alvarez (H)

German Heart Center Munich, 80636 Munich, Germany.

Kira Lisanne Berning (KL)

Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.

Maren Schikowski (M)

Cardiothoracic Surgery Department, Heart and Vessel Center Bad Bevensen, 29549 Bad Bevensen, Germany.

Albert Markus Kasel (AM)

German Heart Center Munich, 80636 Munich, Germany.
Cardiology Department, University Heart Centre, University Hospital Zurich, 8091 Zurich, Switzerland.

Gesine van Mark (G)

Institute for Pharmacology and Preventive Medicine, 49661 Cloppenburg, Germany.

Cornelia Deutsch (C)

Institute for Pharmacology and Preventive Medicine, 49661 Cloppenburg, Germany.

Jana Kurucova (J)

Edwards Lifesciences, 18600 Prague, Czech Republic.

Martin Thoenes (M)

Edwards Lifesciences, 1260 Nyon, Switzerland.

Derk Frank (D)

Internal Medicine III (Cardiology, Angiology and Intensive Care Medicine) Department, UKSH University Clinical Center Schleswig-Holstein, 24105 Kiel, Germany.
German Centre for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck, 24105 Kiel, Germany.

Steffen Wundram (S)

Internal Medicine III (Cardiology, Angiology and Intensive Care Medicine) Department, UKSH University Clinical Center Schleswig-Holstein, 24105 Kiel, Germany.
German Centre for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck, 24105 Kiel, Germany.

Peter Bramlage (P)

Institute for Pharmacology and Preventive Medicine, 49661 Cloppenburg, Germany.

Barbara Miller (B)

Cmillers, 97082 Würzburg, Germany.

Verena Veulemans (V)

Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.

Classifications MeSH