AI Article Synopsis
- - TAVI (transcatheter aortic valve implantation) is commonly performed on extremely elderly patients with severe aortic stenosis, with a study analyzing data from 2016 to 2019 focusing on trends and outcomes in this population.
- - Among 23,507 extreme elderly TAVI admissions, in-hospital mortality was low at 2%, and 30-day all-cause readmission rates were steady at 15%, while complications like stroke and pacemaker implantation remained stable over the years.
- - Improvements were noted in hospital stays, with the average length decreasing from 5.5 days in 2016 to 4.3 days in 2019, and early discharge rates rose from 49% to 69
Article Abstract
Transcatheter aortic valve implantation (TAVI) has been increasingly performed among extreme elderly patients with symptomatic severe aortic stenosis. We aimed to study the trends, characteristics, and outcomes of TAVI among extreme elderly. The National Readmission Database for the years 2016 to 2019 was queried for extreme elderly who underwent TAVI. Linear regression analysis was used to calculate the temporal trends in outcomes. A total of 23,507 TAVI extreme elderly admissions (50.3% women and 95.9% Medicare insurance) were included. The in-hospital mortality and all-cause 30-day readmissions were 2% and 15% and have been stable over years of analysis (p trend = 0.79 and 0.06, respectively). We evaluated complications, such as permanent pacemaker implantation (12%) and stroke (3.2%). Stroke rates did not decrease (3.4% vs 2.9% in 2016 and 2019 [p trend = 0.24]). The mean length of stay improved from 5.5 days in 2016 to 4.3 days in 2019 (p trend <0.01). The rates of early discharge (day ≤3) has improved from 49% in 2016 to 69% in 2019 (p trend <0.01). In conclusion, this nationwide contemporary observational analysis showed that TAVI was associated with low rates of complications in the extreme elderly.
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| http://dx.doi.org/10.1016/j.amjcard.2023.04.019 | DOI Listing |
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