Impact of postdischarge care fragmentation on clinical outcomes and survival following transcatheter aortic valve replacement

KARAÇÖP E., ENHOŞ A., Bakhshaliyev N.

HERZ, vol.46, pp.180-186, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46
  • Publication Date: 2021
  • Doi Number: 10.1007/s00059-020-04976-2
  • Journal Name: HERZ
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Agricultural & Environmental Science Database, BIOSIS, EMBASE, MEDLINE
  • Page Numbers: pp.180-186
  • Keywords: Aortic stenosis, Chronic obstructive pulmonary disease, Mortality, Paravalvular leakage, Patient readmission
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

Background. The study aimed to evaluate the prognostic impact of postdischarge care fragmentation in patients undergoing transcatheter aortic valve replacement (TAVR). Methods. A total of 266 patients undergoing TAVR due to severe aortic stenosis were included in this retrospective cohort study. Patients were assigned to one of two groups based on presence (n= 104) and absence (n= 162) of postdischarge care fragmentation. Fragmented care was defined as at least one readmission to a site other than the implanting TAVR center within 90 days. Prognostic impact of care fragmentation on clinical outcomes and predictors of long-term mortality were investigated.