Hospital Variation in 30-Day Readmissions Following Transcatheter Aortic Valve Replacement

Blocking short‐term gains

“…For instance Elzanaty et al described a 1.8%−2% pacemaker readmission rate post-TAVR while Kolte et al found a 6.9% and 9.6% rate of readmission for conduction and procedural complications respectively post-TAVR. 2,3 It should be notable that discrepant ICD-10 codes were used between these two studies and there may be variability in event rates depending on how analyses are performed.…”

“…Recently differences in outcomes and conclusions drawn from the National Readmissions Database showed discrepancies in International Classification of Diseases‐10 (ICD‐10) codes in their analysis for readmissions for heart block and pacemaker implantation. For instance Elzanaty et al described a 1.8%−2% pacemaker readmission rate post‐TAVR while Kolte et al found a 6.9% and 9.6% rate of readmission for conduction and procedural complications respectively post‐TAVR 2,3 . It should be notable that discrepant ICD‐10 codes were used between these two studies and there may be variability in event rates depending on how analyses are performed.…”

When should early discharge post‐transcatheter aortic valve replacement be blocked?

“…Again, from the same database but in a separate analysis, Kolte et al found a 6.9% and 9.6% rate of readmission for conduction disorders and procedural complications respectively. It should be noted that the ICD‐10 codes used to identify TAVR in the aforementioned observational studies are discrepant 3 . In light of the variability in analysis from the same data set, some added perspective should be used in interpreting NRD data analysis.…”

“…It should be noted that the ICD-10 codes used to identify TAVR in the aforementioned observational studies are discrepant. 3 In light of the variability in How to cite this article: Eng MH, Zahr F. When should early discharge post-transcatheter aortic valve replacement be blocked?…”