Thirty-day readmissions in surgical and transcatheter aortic valve replacement: A systematic review and meta-analysis

INTERNATIONAL JOURNAL OF CARDIOLOGY

卷:268

Review

Danielsen, Stein Ove^1,2,3  Moons, Philip^3,4  Sandven, Irene⁵  Leegaard, Marit⁶  Solheim, Svein^7,8  Tonnessen, Theis^2,9  Lie, Irene¹ 

[1] Oslo Univ Hosp, Dept Cardiothorac Surg, Ctr Patient Ctr Heart & Lung Res, Bldg 63,Pb 4956, N-0424 Oslo, Nydalen, Norway

[2] Univ Oslo, Fac Med, Inst Clin Med, Oslo, Norway

[3] Univ Leuven, KU Leuven, Dept Publ Hlth & Primary Care, Leuven, Belgium

[4] Univ Gothenburg, Inst Hlth & Care Sci, Gothenburg, Sweden

[5] Oslo Univ Hosp, Oslo Ctr Biostat & Epidemiol, Oslo, Norway

[6] Oslo Metropolitan Univ, Fac Hlth Sci, Dept Nursing & Hlth Promot, Oslo, Norway

[7] Oslo Univ Hosp, Div Med, Ctr Clin Heart Res, Oslo, Norway

[8] Oslo Univ Hosp, Div Med, Dept Cardiol, Oslo, Norway

[9] Oslo Univ Hosp, Div Cardiovasc & Pulm Dis, Dept Cardiothorac Surg, Oslo, Norway

关键词: Surgical aortic valve replacement;    Transcatheter aortic valve replacement;    Aortic stenosis;    Thirty-day readmission;   

DOI  :  10.1016/j.ijcard.2018.05.026

来源: Elsevier

【 摘 要 】

Background: The 30-day all-cause readmission rate after surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) vary substantially. We conducted a systematic review and meta-analysis to examine the overall incidence, causes, and risk factors of 30-day all-cause readmission rate after SAVR and TAVR. Methods: Eight medical research databases were searched; Cochrane, Medline, Embase, UpToDate, PROSPERO, National Guideline Clearinghouse, SweMed and Oria. We followed The Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) for this study. Results: Thirty-three articles were included in the systematic review, 32 of whichwere appropriate for the metaanalysis. Overall, 17% (95% CI: 16-18%) of patients in the SAVR group, and 16% (95% CI: 15-18%) in the TAVR groups were readmitted within 30 days. Heart failure, arrhythmia, infection, and respiratory problems were the most frequent causes of all-cause readmission after SAVR and TAVR. Most frequent reported prior risk factors for all-cause readmission following TAVR were diabetes, chronic lung disease/chronic obstructive pulmonary disease, atrial fibrillation, kidney problems, and transapical approach/nonfemoral access. For SAVR, no risk factors for 30-day all-cause readmission were reported in the literature to date. Conclusion: In conclusion, the overall proportion of 30-day all-cause readmission after SAVR and TAVR are high. Interventions to prevent avoidable readmissionsought to be developed and implemented. (C) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

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