- Email: [email protected]
ECONOMIC IMPLICATIONS OF LATE DISCHARGE AFTER TRANSCATHETER AORTIC CATHETER IMPLANTATION
1243 JACC March 21, 2017 Volume 69, Issue 11
Interventional Cardiology ECONOMIC IMPLICATIONS OF LATE DISCHARGE AFTER TRANSCATHETER AORTIC CATHETER IMPLANTATION Poster Contributions 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 Authors: Sagar Mallikethi-Reddy, Emmanuel Akintoye, Alexandros Briasoulis, Naveen Trehan, Shanker Kundumadam, Anupama Kottam, Shaun Cardozo, Melvyn Rubenfire, Luis Afonso, Cindy Grines, Division of Cardiology, Detroit Medical Center, Wayne State University School of Medicine, Detroit, MI, USA, University of Michigan Medical School, Ann Arbor, MI, USA
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.
Interventional Cardiology ECONOMIC IMPLICATIONS OF LATE DISCHARGE AFTER TRANSCATHETER AORTIC CATHETER IMPLANTATION Poster Contributions 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 Authors: Sagar Mallikethi-Reddy, Emmanuel Akintoye, Alexandros Briasoulis, Naveen Trehan, Shanker Kundumadam, Anupama Kottam, Shaun Cardozo, Melvyn Rubenfire, Luis Afonso, Cindy Grines, Division of Cardiology, Detroit Medical Center, Wayne State University School of Medicine, Detroit, MI, USA, University of Michigan Medical School, Ann Arbor, MI, USA
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.