Impact of Frailty on Mortality, Readmissions, and Resource Utilization After TAVI.

Publication/Presentation Date

7-15-2020

Abstract

With aging population and preponderance of severe aortic stenosis occurring in elderly patients, the number of transcatheter aortic valve implantations (TAVI) performed in the elderly are growing. Frailty is common in the elderly and is known to be associated with worse outcomes. We aimed to evaluate the impact of frailty on hospital readmissions rates after TAVI. We used the 2016 Nationwide Readmission Database and categorized patients who underwent TAVI low, intermediate, and high frailty status. The primary outcome was 6-months readmission rates across the 3 frailty categories. Secondary outcomes included causes of readmissions, in-hospital mortality and cost of care. STATA 16.0 was used for survey-specific statistical tests. Of 20,504 patients who underwent TAVI, 58.9% were low-, 39.6% were intermediate-, and 1.5% were in the high-frailty group. Overall in-hospital mortality was 1.9% (n = 396), and was 0.6%, 3.3%, and 16.8% (p

Volume

127

First Page

120

Last Page

127

ISSN

1879-1913

Disciplines

Medicine and Health Sciences

PubMedID

32402487

Department(s)

Department of Medicine, Cardiology Division, Fellows and Residents

Document Type

Article

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