Effect on 30-day readmissions after early vs delayed discharge after uncomplicated transcatheter aortic valve implantation (from the Nationwide Readmissions Database)
The American Journal of Cardiology Nov 23, 2019
Omer MA, Smolderen K, Kennedy K, et al. - Among patients who had uncomplicated endovascular TAVR, researchers assessed 30-day readmission rates in relation to early (< 3 days) vs late (≥ 3 days) discharges in a propensity-matched cohort. They used the National Readmission Databases (1/2014 to 9/2015). They assessed interactions of patient factors with discharge strategy in order to analyze factors related to failure of early discharge. There were 3,346 individuals in the propensity matched cohort. These participants exhibited similar rates of 30-day readmission by discharge strategy (early vs late: 10.3% vs 10.6%). Among patients discharged early, lower readmission rates were observed in those with 0 to 4 chronic conditions, but not in those with 5 to 10 or > 10. Findings revealed no link between early discharge after uncomplicated TAVR and a higher rate of 30-day rehospitalization in this large “real-world” cohort, yet significant variability was reported across US hospitals. No patient features were related to increased risk of readmission with early discharge.
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