Costs and in-hospital outcomes of transcatheter aortic valve implantation versus surgical aortic valve replacement in commercial cases using a propensity score matched model

The American Journal of Cardiology
Robert M MinutelloLuke K Kim

Abstract

The aim of this study was to compare in-hospital cost and outcomes between transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR). TAVI is an effective treatment option in patients with symptomatic aortic stenosis who are at high risk for traditional SAVR. Several studies using trial data or outside United States registry data have addressed TAVI cost issues, although there is a paucity of cost data involving commercial cases in the United States. Using Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project Nationwide Inpatient Sample files, a propensity score-matched analysis of all commercial TAVI and SAVR cases performed in 2011 was conducted. Overall hospital cost and length of stay, as well as procedural complications, were compared between the 2 matched cohorts: 595 TAVI patients were matched to 1,785 SAVR patients in a 1:3 ratio. There was no difference in mean ($181,912 vs $196,298) or median ($152,993 vs $155,974) hospital cost between TAVI and SAVR (p = 0.60). The TAVI group had significantly shorter lengths of hospital stay than the SAVR group (mean 9.76 vs 12.01 days, p <0.001). There was no difference in postprocedural in-hospital death or stroke, but...Continue Reading

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Citations

Feb 13, 2016·Journal of Interventional Cardiology·Kishore J HarjaiMartin B Leon
Oct 29, 2015·The American Journal of Cardiology·Luke K KimS Chiu Wong
Aug 10, 2015·The American Journal of Cardiology·Christopher CaoTristan D Yan
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Oct 11, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tomo AndoCindy L Grines
Dec 14, 2019·Circulation. Cardiovascular Quality and Outcomes·Parth K ModiBrent K Hollenbeck
Sep 19, 2019·Cardiovascular Intervention and Therapeutics·Hiroshi OnodaKoichiro Kinugawa
May 28, 2017·BMC Cardiovascular Disorders·Yaron ArbelHarindra C Wijeysundera
Jun 27, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Aravinda NanjudappaMark C Bates
Aug 1, 2016·Journal of the Intensive Care Society·Panagiota GeorgiadouVassilis Voudris
Oct 29, 2020·Clinical Cardiology·Luise GaedeHelge Möllmann

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