TUESDAY, March 5, 2019 — From 2011 to 2015, there was a decline in the rates of delayed discharge following transcatheter aortic valve replacement, according to research published in the March 11 issue of JACC: Cardiovascular Interventions.

Siddharth A. Wayangankar, M.D., from the University of Florida in Gainesville, and colleagues examined trends, predictors, and outcomes of delayed discharge (>72 hours) after transcatheter aortic valve replacement. Patients were classified according to early (≤72 hours) and delayed (>72 hours) discharge.

Data were included for 13,389 patients (55.1 percent) who were discharged within 72 hours and 10,896 (44.9 percent) who were discharged beyond 72 hours in the period from 2011 to 2015. Across the study period, the researchers found a significant decrease in rates of delayed discharge (62 versus 34 percent). When stratified by Transcatheter Valve Therapy risk scores, this decrease remained unchanged. Several factors independently predicted early and delayed discharge. Delayed discharge was an independent predictor of one-year all-cause mortality (hazard ratio, 1.45) after adjustment for in-hospital complications.

“Further work needs to be done to determine if predictors of early discharge could be utilized to develop length of stay scores,” Wayangankar said in a statement. “These scores could be instrumental in administrative, financial, or clinical policy development regarding delivery of transcatheter aortic valve replacement procedures.”

One author is a proctor for Medtronic Valve therapies.

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Posted: March 2019

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