Comparison of outcomes after transcatheter aortic valve implantation following home versus non-home discharge.

Extended care facility TAVI non-home discharge quality of life

Journal

Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033

Informations de publication

Date de publication:
2022
Historique:
entrez: 27 6 2022
pubmed: 28 6 2022
medline: 28 6 2022
Statut: epublish

Résumé

As more patients undergo transcatheter aortic valve implantation (TAVI), knowledge of 1-year mortality and associated factors becomes increasingly important. After other cardiac procedures, discharge location has been shown to be associated with 1-year mortality. We examined outcomes of TAVI patients discharged home vs an extended care facility (ECF). All TAVI patients from January 1, 2012, to December 31, 2017, were evaluated. Cox proportional hazard regression models with cubic splines were used to estimate the adjusted effect of discharge to ECF on 1-year mortality. A total of 957 (85.6%) patients discharged home were compared to 160 (14.3%) discharged to ECF. On univariate analysis, patients discharged home were younger and had a lower Society of Thoracic Surgeons Predicted Risk of Mortality, higher albumin, and fewer vascular complications and strokes. Patients discharged to ECF had a higher 30-day mortality (3.8% vs. 0.5%,

Identifiants

pubmed: 35754575
doi: 10.1080/08998280.2022.2064581
pii: 2064581
pmc: PMC9196721
doi:

Types de publication

Journal Article

Langues

eng

Pagination

428-433

Informations de copyright

Copyright © 2022 Baylor University Medical Center.

Références

J Am Coll Cardiol. 2016 Jul 26;68(4):343-52
pubmed: 27443429
Ann Thorac Surg. 2012 Sep;94(3):744-50
pubmed: 22835556
J Am Med Dir Assoc. 2013 Feb;14(2):147.e1-5
pubmed: 23218743
Circ Heart Fail. 2011 May;4(3):293-300
pubmed: 21447803
Am J Cardiol. 2018 Mar 15;121(6):758-761
pubmed: 29402418
JAMA Cardiol. 2017 Apr 1;2(4):455-456
pubmed: 27851845
J Card Surg. 2018 May;33(5):243-249
pubmed: 29654615
Catheter Cardiovasc Interv. 2019 Sep 1;94(3):448-455
pubmed: 30618060
JAMA. 2015 Mar 10;313(10):1019-28
pubmed: 25756438
PM R. 2013 May;5(5):408-17
pubmed: 23159239
N Engl J Med. 2010 Oct 21;363(17):1597-607
pubmed: 20961243
N Engl J Med. 2016 Apr 28;374(17):1609-20
pubmed: 27040324
Ann Thorac Surg. 2013 Oct;96(4):1287-1292
pubmed: 23972929
J Heart Valve Dis. 2010 Jul;19(4):524-32
pubmed: 20845902
Ann Thorac Surg. 2013 Sep;96(3):871-7
pubmed: 23866801
J Am Geriatr Soc. 2000 May;48(S1):S6-15
pubmed: 10809451
N Engl J Med. 2016 Oct 27;375(17):1610-1612
pubmed: 27783911
JAMA Cardiol. 2016 Apr 1;1(1):46-52
pubmed: 27437653

Auteurs

Katherine R Hebeler (KR)

Department of Surgery, Baylor University Medical Center, Dallas, Texas.
Department of Surgery, Baylor Scott & White Research Institute, Dallas, Texas.

Gerald Ogola (G)

Department of Surgery, Baylor Scott & White Research Institute, Dallas, Texas.

Giovanni Filardo (G)

Department of Statistical Science, Southern Methodist University, Dallas, Texas.
Robbins Institute for Health Policy and Leadership, Hankamer School of Business, Baylor University, Waco, Texas.

Michael Mack (M)

Department of Surgery, Baylor Scott & White Research Institute, Dallas, Texas.
Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.

Robert Stoler (R)

Division of Cardiology, Baylor Heart & Vascular Hospital, Dallas, Texas.

Timothy Mixon (T)

Division of Cardiology, Baylor Scott & White Medical Center - Temple, Temple, Texas.

Molly Szerlip (M)

Department of Surgery, Baylor Scott & White Research Institute, Dallas, Texas.
Department of Cardiology, The Heart Hospital Baylor Plano, Plano, Texas.

James Edgerton (J)

Department of Surgery, Baylor Scott & White Research Institute, Dallas, Texas.
Division of Cardiothoracic Surgery, Washington University, Barnes Jewish Hospital, St. Louis, Missouri.

Robert F Hebeler (RF)

Department of Cardiothoracic Surgery, Baylor Heart & Vascular Hospital, Dallas, Texas.

Classifications MeSH