Author + information
- Fahad Alqahtani,
- Sami Aljohani,
- Ashwin Bhirud,
- Ahmed Almustafa,
- Chalak Berzingi,
- Sameer Raina and
- Mohamad Alkhouli
Background: Despite declining lengths of stay, postdischarge healthcare resource utilization may be increasing because of shifts to nonacute care settings. Although changes in hospital stay after valve surgery have been described, patterns of discharge remain unclear. We aim to determine patterns of disposition after valve surgery in the U.S.
Methods: We examined disposition patterns after valve surgery from 2004-2013 using the Nationwide Inpatient Sample. Discharges with a “nonroutine” disposition defined patients discharged with continued healthcare needs. Multivariable regression models were constructed to assess trends and factors associated with nonroutine discharge.
Results: Median length of stay among 164,972 discharges decreased from 13 to 11 days (P<0.001), with a simultaneous increase in intermediate care discharges from 22.8% to 28% (P=<0.001). Multivariable regression models showed age, female gender, comorbidities, concurrent CABG and PCI more likely to be associated with nonroutine discharge.
Conclusions: We found a significant increase in nonroutine discharges after valve surgery across the U.S from 2004 to 2013. The shortening of length of stay in these patients may be counterbalanced by the increased requirement for additional postoperative healthcare services. The impact of these changes on long-term outcomes and net resource utilization warrant further investigations.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Outcomes in Valvular Heart Disease
Abstract Category: 36. Valvular Heart Disease: Clinical
Presentation Number: 1273-025
- 2017 American College of Cardiology Foundation