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Association of hospital inpatient percutaneous coronary intervention volume with clinical outcomes after transcatheter aortic valve replacement and transcatheter mitral valve repair

JAMA Feb 19, 2020

Butala NM, et al. - This study was to examine whether hospital inpatient percutaneous coronary intervention (PCI) volume is associated with rates of risk-adjusted in-hospital mortality and 30-day hospital readmission after transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr). Between January 1, 2016, and November 30, 2016, This population-based cross-sectional study of the 2016 Nationwide Readmissions Database involved methods completed in hospitals with a minimum of 5 TAVR or 5 TMVr procedures. This study included 283 hospitals that completed at least 5 TAVRs, with a median inpatient PCI volume of 386 (interquartile range, 299-571) procedures and 125 hospitals that made at least 5 TMVr procedures, with a median inpatient PCI volume of 451 (interquartile range, 326-651) procedures. No correlation was found between inpatient PCI volume and TAVR or TMVr results. Further evidence is required to help the inclusion of PCI volume minimums in national coverage determination requirements for hospital TAVR and TMVr programs.
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