Valvular & structural heart disease
Incidence, predictors, and prognostic impact of rehospitalization after transcatheter aortic valve implantation
Authors' conclusion
Rehospitalization after TAVI is frequent in real-world practice. Early rehospitalization is mostly procedure related, whereas late rehospitalization is related to preexisting comorbidities. HF rehospitalization is associated with poor long-term survival
Study context
- Population
- Consecutive patients treated with transcatheter aortic valve implantation (TAVI) in East Denmark, 2016–2020
- Participants
- 1,397 patients
- Outcome
- Incidence, predictors and prognostic impact of rehospitalization
- Follow-up
- Within 1 year following TAVI
Methodological detailsconsecutive patients, Medical records reviewed to validate rehospitalizations up to 1 year after discharge
- Consecutive patients
- Medical records reviewed to validate rehospitalizations up to 1 year after discharge
Main finding
As reported in the abstract
Unplanned rehospitalization within first year
615
44%
Rehospitalization incidence rate, early (within 30 days) vs late (30 days to 1 year), per patient-year; three-fold higher early
2.5 vs. 0.8
P < 0.001
Observational data: associations, not effects.
Further findings
Predictors of heart failure (HF) rehospitalization
- Ischaemic heart disease, extent of cardiac damage, AF and NYHA class at baseline
Mortality after HF rehospitalization within 30 days and 1 year post-TAVI · 1 and 5 years
- 1-year mortality, HF rehospitalization within 30 days, HR
- 4.3
- 1-year mortality, HF rehospitalization within 1 year, HR
- 3.2
- 5-year mortality, HF rehospitalization within 30 days, HR
- 3.2
- 5-year mortality, HF rehospitalization within 1 year, HR
- 2.9
- P< 0.001
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →