Valvular & structural heart disease

Rapid Assessment and Treatment In Decompensated Aortic Stenosis (ASessment and TReatment In Decompensated Aortic Stenosis (ASTRID-AS) study)- A pilot study

Eur Heart J Qual Care Clin OutcomesPublished Pilot study

Authors' conclusion

A dedicated pathway for ADAS that shortens time to TAVI demonstrated reduced hospital LoS without compromising patient safety and a trend towards improving clinical outcomes.

Study context

Population
Patients with acute decompensated AS referred for transcatheter aortic valve implantation (TAVI)
Participants
25 vs 58
Exposure
ASTRID-AS pathway vs conventional pathway
  • ASTRID-ASn = 25
  • Conventionaln = 58reference
Outcome
Hospital length of stay (LoS)
Methodological detailsprospective, open label, cluster
  • Prospective
  • Open label
  • Cluster

Main finding

As reported in the abstract

Hospital length of stay

P < 0.001

Bed days saved per patient with ASTRID-AS
13.4

Observational data: associations, not effects.

Further findings

Time to TAVI

P < 0.001

Secondary safety endpoint: death or acute kidney injury (AKI) · 30 days post-TAVI
P = 0.093

Bed days saved

Bed days saved per patient with ASTRID-AS pathway
13.4

Procedural complications

Similar between the two cohorts

Safety

Procedural complications

Similar between the two cohorts

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Rapid Assessment and Treatment In Decompensated Aortic Stenosis (ASTRID-AS study)- A pilot study. Eur Heart J Qual Care Clin Outcomes. Published 15 November 2022. doi:10.1093/ehjqcco/qcac074

Composed by AI from the published abstract and checked against it. How Briefs are made →

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