Author + information
- Sagar Mallikethi-Reddya,b,
- Emmanuel Akintoyea,b,
- Alexandros Briasoulisa,b,
- Naveen Trehana,b,
- Shanker Kundumadama,b,
- Anupama Kottama,b,
- Shaun Cardozoa,b,
- Melvyn Rubenfirea,b,
- Luis Afonsoa,b and
- Cindy Grinesa,b
Background: Early discharge after transcatheter aortic valve implantation (TAVI) has been found to be safe and feasible in selected patients, yet majority patients are discharged late (>3 days post-TAVI) during hospitalization. Studies on correlation of hospitalization costs and length of stay post-TAVI in nationally representative population are scarce.
Methods: We analyzed using Healthcare Utilization Project, Nationwide inpatient Sample database, 2011-2012. A total of 7,321 TAVI procedures were identified. Correlation between hospitalization costs and the length of stay post-TAVI was evaluated via Pearson correlation coefficient.
Results: Late discharge rate post-TAVI was about 79% in the United States, in 2011-2012. Overall mean age was 81 years. Mean length of stay post-TAVI (7.7 days vs. 2.6 days) and hospital costs ($208,752 vs. $157,663) were significantly higher in late discharge than early discharge cohort. We noted a strong positive correlation between costs of hospitalization and post-TAVI length of stay (Figure: R=0.58; p<0.001).
Conclusions: Nearly four-fifths of patients were discharged late after TAVI. Post-TAVI length of stay was associated with significantly higher hospitalization costs.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Interventional Cardiology: PCI and TAVR in Complex Patients
Abstract Category: 24. Interventional Cardiology: Mitral and Structural Heart Disease
Presentation Number: 1239-125
- 2017 American College of Cardiology Foundation