2017
DOI: 10.1002/ccd.27236
|View full text |Cite
|
Sign up to set email alerts
|

Hospital teaching status and trascatheter aortic valve replacement outcomes in the United States: Analysis of the national inpatient sample

Abstract: Most TAVR related short-term outcomes including all cause in-hospital mortality are about the same in teaching and nonteaching hospitals. However, AKI, length of hospital stay and TAVR related cost were significantly higher in teaching than nonteaching hospitals. There was more use of mechanical circulatory support in nonteaching than teaching hospitals.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1
1

Citation Types

1
12
1

Year Published

2018
2018
2024
2024

Publication Types

Select...
5
1

Relationship

1
5

Authors

Journals

citations
Cited by 9 publications
(14 citation statements)
references
References 16 publications
1
12
1
Order By: Relevance
“…Despite the absence of similar studies for comparison, our results are in line with very few previous reports that demonstrate increased in-hospital mortality following procedures performed in academic settings (e.g., endoscopic retrograde cholangiopancreatography) [1] and contradict others that showed no difference (e.g. transcatheter aortic valve replacement) [2] or even improved outcomes (e.g. percutaneous coronary intervention, coronary artery bypass graft) [17,18] in patients undergoing procedures at teaching hospitals.…”
Section: Inpatient Mortality In Teaching Hospitalssupporting
confidence: 90%
See 1 more Smart Citation
“…Despite the absence of similar studies for comparison, our results are in line with very few previous reports that demonstrate increased in-hospital mortality following procedures performed in academic settings (e.g., endoscopic retrograde cholangiopancreatography) [1] and contradict others that showed no difference (e.g. transcatheter aortic valve replacement) [2] or even improved outcomes (e.g. percutaneous coronary intervention, coronary artery bypass graft) [17,18] in patients undergoing procedures at teaching hospitals.…”
Section: Inpatient Mortality In Teaching Hospitalssupporting
confidence: 90%
“…On the other hand, patients admitted to nonteaching hospitals are usually taken care of by a clinician or provider that is not a trainee. As a result of the theory that training settings carry higher risks of complications and adverse outcomes for patients, secondary to trainees' inexperience, researchers have long attempted to determine whether medical teaching environments have a significant impact on various patient outcomes than non-teaching settings [1][2][3]. However, the results are not consistent with a specific pattern of patient benefits [4][5][6] or harms [3,7].…”
Section: Introductionmentioning
confidence: 99%
“…1 Thus far, no difference in mortality has been demonstrated between nonteaching and teaching hospitals. 8,9 In the present study, the unadjusted increased in-hospital mortality in teaching hospital reflects the higher preprocedure comorbidities and postprocedure complications rates since after adjustment of these variables, there was no longer a significant difference in mortality between nonteaching and teaching hospitals. Therefore, results suggest underlying health characteristics contribute to mortality rather than hospital teaching status.…”
Section: Mortalitymentioning
confidence: 47%
“…According to the 2016 Annual report of the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry, number of TAVR performed was 4,627 in 2012 but almost increased by 6‐folds up to 24,808 in 2015 with decline in in‐hospital mortality from 5.9% in 2012 to 2.9% in 2015 . With its expansion in utilization as a major treatment modality for severe, symptomatic aortic stenosis, the number of TAVR performed at non‐teaching hospitals also increased from only 3.6% in 2011 to 8 to 10% in 2012 to 2014 …”
Section: Introductionmentioning
confidence: 99%
“…According to these studies, bleeding, new dialysis, respiratory complications, conversion to open‐heart surgery occurred more frequently in non‐teaching hospital whereas use of mechanical circulatory support was less in the teaching hospitals . In addition, while TAVR morbidity and mortality were about the same between teaching and non‐teaching hospitals, SAVR outcomes at non‐teaching hospitals showed more detrimental outcomes as compared with teaching hospital . Therefore, there could be a difference in comparative outcomes between TAVR vs. SAVR in non‐teaching hospitals.…”
Section: Introductionmentioning
confidence: 99%