The Resource Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer

Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer

Label
Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database
Title
Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement
Title remainder
insights from the Nationwide Readmissions Database
Statement of responsibility
by Mohamed Omer
Creator
Contributor
Author
Degree supervisor
Subject
Genre
Language
eng
Summary
Early discharge after transcatheter aortic valve replacement (TAVR) has generally shown to be safe; however, studies have been limited to single centers or trial populations, making their generalizability unclear. This study sought to examine the rate of rehospitalization after early vs. late discharge following uncomplicated TAVR in an unselected population, to explore the variability in early discharge across sites, and to investigate factors associated with failure of early discharge. Using the National Readmission Databases (1/2014-9/2015), we compared 30-day readmission rates between early (<3 days) vs late ({u2265}3 days) discharges after uncomplicated transfemoral TAVR (propensity matched cohort) using Kaplan-Meier methods. Additionally, we examined factors associated with failure of early discharge using logistic regression and testing for interactions of patient factors with discharge strategy. Among 4,955 hospitalizations for uncomplicated TAVR, 1857 (37%) were discharged early with substantial site-level variability (range 0-87%; median odds ratio 3.69). In the propensity matched cohort (n=3346), there were similar rates of 30-day readmission by discharge strategy (early vs. late: 10.3% vs. 10.6%; stratified log-rank p=0.555). There was a statistically significant interaction between discharge strategy and number of chronic conditions (p=0.007), where readmission rates were lower in patients discharged early versus late. In a matched cohort of real-world patients, early discharge after uncomplicated TAVR was not associated with a higher rate of 30-day rehospitalization, yet there was significant variability in early discharge across US hospitals. Furthermore, we were unable to identify any patients who appeared to benefit for longer inpatient monitoring. Novel strategies should be explored to safely increase the rate of early discharge after uncomplicated TAVR to improve patient outcomes
Cataloging source
UMK
http://library.link/vocab/creatorDate
1982-
http://library.link/vocab/creatorName
Omer, Mohamed
Degree
M.S.
Dissertation note
(School of Medicine).
Dissertation year
2019.
Granting institution
University of Missouri-Kansas City,
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
Smolderen, Kim G.
http://library.link/vocab/subjectName
  • Heart valves
  • Hospital utilization
  • Heart Valves
  • Length of Stay
  • Patient Discharge
Label
Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer
Instantiates
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Kim Smolderen
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 28-30)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
Introduction -- Methodology -- Results -- Discussion -- Conclusion -- Appendix
Control code
1105038873
Dimensions
unknown
Extent
1 online resource (31 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)1105038873
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web
Label
Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Kim Smolderen
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 28-30)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
Introduction -- Methodology -- Results -- Discussion -- Conclusion -- Appendix
Control code
1105038873
Dimensions
unknown
Extent
1 online resource (31 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)1105038873
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web

Library Locations

  • St. Louis Mercantile LibraryBorrow it
    1 University Blvd, St. Louis, MO, 63121, US
    38.710138 -90.311107
  • Thomas Jefferson LibraryBorrow it
    1 University Blvd, St. Louis, MO, 63121, US
    38.710138 -90.311107
  • University ArchivesBorrow it
    703 Lewis Hall, Columbia, MO, 65211, US
  • University of Missouri-St. Louis Libraries DepositoryBorrow it
    2908 Lemone Blvd, Columbia, MO, 65201, US
    38.919360 -92.291620
  • University of Missouri-St. Louis Libraries DepositoryBorrow it
    2908 Lemone Blvd, Columbia, MO, 65201, US
    38.919360 -92.291620
  • Ward E Barnes Education LibraryBorrow it
    8001 Natural Bridge Rd, St. Louis, MO, 63121, US
    38.707079 -90.311355
Processing Feedback ...