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
Resource Information
The item Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in University of Missouri-St. Louis Libraries.This item is available to borrow from all library branches.
Resource Information
The item Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in University of Missouri-St. Louis Libraries.
This item is available to borrow from all library branches.
- 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
- Language
- eng
- Extent
- 1 online resource (31 pages)
- Note
-
- "A thesis in Bioinformatics."
- Advisor: Kim Smolderen
- Vita
- Contents
-
- Introduction
- Methodology
- Results
- Discussion
- Conclusion
- Appendix
- 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
- 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
- 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
- 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 it1 University Blvd, St. Louis, MO, 63121, US38.710138 -90.311107
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-
University ArchivesBorrow it703 Lewis Hall, Columbia, MO, 65211, US
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University of Missouri-St. Louis Libraries DepositoryBorrow it2908 Lemone Blvd, Columbia, MO, 65201, US38.919360 -92.291620
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University of Missouri-St. Louis Libraries DepositoryBorrow it2908 Lemone Blvd, Columbia, MO, 65201, US38.919360 -92.291620
-
Ward E Barnes Education LibraryBorrow it8001 Natural Bridge Rd, St. Louis, MO, 63121, US38.707079 -90.311355
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<div class="citation" vocab="http://schema.org/"><i class="fa fa-external-link-square fa-fw"></i> Data from <span resource="http://link.umsl.edu/portal/Thirty-day-readmissions-after-early-versus/d0I2aQXy1Rg/" typeof="Book http://bibfra.me/vocab/lite/Item"><span property="name http://bibfra.me/vocab/lite/label"><a href="http://link.umsl.edu/portal/Thirty-day-readmissions-after-early-versus/d0I2aQXy1Rg/">Thirty-day readmissions after early versus delayed discharge after uncomplicated transcatheter aortic valve replacement : insights from the Nationwide Readmissions Database, by Mohamed Omer</a></span> - <span property="potentialAction" typeOf="OrganizeAction"><span property="agent" typeof="LibrarySystem http://library.link/vocab/LibrarySystem" resource="http://link.umsl.edu/"><span property="name http://bibfra.me/vocab/lite/label"><a property="url" href="http://link.umsl.edu/">University of Missouri-St. Louis Libraries</a></span></span></span></span></div>
