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
Published In/Presented At
Malik, A. H., Yandrapalli, S., Zaid, S., Shetty, S., Athar, A., Gupta, R., Aronow, W. S., Goldberg, J. B., Cohen, M. B., Ahmad, H., Lansman, S. L., & Tang, G. H. L. (2020). Impact of Frailty on Mortality, Readmissions, and Resource Utilization After TAVI. The American journal of cardiology, 127, 120–127. https://doi.org/10.1016/j.amjcard.2020.03.047
Disciplines
Medicine and Health Sciences
PubMedID
32402487
Department(s)
Department of Medicine, Cardiology Division, Fellows and Residents
Document Type
Article