dismiss

Mark your calendars: the next Clean Sweep Live Auction will be on Thursday, June 21st Click to view the full catalogue

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

 

 

Cardiology Homepage

William Kozy LivaNova welcomes new board of directors member

Philips to acquire EPD Solutions for approx. $295 million Company has its eye on the EUR 2+ billion cardiac arrhythmia ablation market

FDA greenlights Neural Analytics' NeuralBot System Assesses risk of stroke and other neurological conditions

New algorithm predicts impact of heart transplants on survival in heart failure patients Acquires information based on 53 data points to predict rate and length of survival

Timothy J. Arens Surmodics announces leadership change and appointment of interim CFO

New tool predicts readmission among TAVR patients Recorded a score of 212 associated with a readmission rate of more than 30 percent

Penn Medicine performs first cardiac ablation procedure with the AcQMap system in US Patient is recovering nicely

How 3D printing could reduce complications after TAVR Using the pre-procedure CT data to create a model that can be implanted with a valve

Chicago mobile stroke unit expands to partnering EMS areas Equipped with a 16-slice Siemens' CT scanner

Opportunities and challenges with 3D printing in cardiology A world of potential but costs remain a barrier

Image of Edwards SAPIEN Transcatheter
Heart Valve

Early discharge associated with better outcomes after TAVR

by Lauren Dubinsky , Senior Reporter
It’s obvious that early discharge is beneficial from a financial standpoint, but it might also have clinical benefits.

New research presented at Society for Cardiovascular Angiography and Interventions 2018 Scientific Sessions late last week found that patients whose hospital stay exceeded 72 hours when undergoing transfemoral TAVR (TF-TAVR) experienced negative short- and long-term outcomes.

Story Continues Below Advertisement

Servicing GE Nuclear Medicine equipment with OEM trained engineers

We offer full service contracts, PM contracts, rapid response, time and material,camera relocation. Nuclear medicine equipment service provider since 1975. Click or call now for more information 800 96 NUMED



Dr. Siddharth Wayangankar of the University of Florida led this study, which investigated the trend predictors and outcomes associated with hospital length of stay (LOS) following TF-TAVR.

The study included 24,285 patients who underwent non-aborted TF-TAVR and survived discharge from 2011 to 2015. They were categorized as early discharge, which meant their LOS was less than 72 hours, or delayed discharge.

Wayangankar and his team observed that there was a significant decline in the rates of delayed discharge during the study period — 62.2 percent in 2012 Q1 versus 34.4 percent in 2015 Q3.

They compared one-year outcomes based on LOS and found that delayed discharge was significantly associated with higher one-year all-cause mortality. Even after adjusting for in-hospital complications, delayed discharge was still an independent predictor of one-year all-cause mortality.

The findings also revealed distinct independent predictors of early and late discharge. Wayangankar believes that these predictors could have a major impact on the future care of aortic stenosis patients.

Wayangankar told HCB News that the independent predictors of delayed discharge are patients who are over age 85, African-American or Hispanic and those who had prior MC procedures, diabetes, atrial fibrillation, and dialysis, among other factors.

The independent predictors of early discharge are prior implantation of a permanent pacemaker, implantable cardioverter-defibrillator, coronary artery bypass graft as well as myocardial infarction, smoking history, moderate to severe aortic insufficiency and moderate sedation.

Wayangankar believes that patients with delayed discharges might require a more rigorous follow-up schedule to mitigate the higher mortality and hospitalization rates.

The team noted their data on independent predictors should be prospectively validated within the Transcatheter Valve Therapy Registry. Once that is done, LOS calculators could help to streamline TAVR programs worldwide.

Cardiology Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2018 DOTmed.com, Inc.
ALL RIGHTS RESERVED