Thirty-day readmissions in surgical and transcatheter aortic valve replacement: A systematic review and meta-analysis

International Journal of Cardiology
Stein Ove DanielsenIrene Lie

Abstract

The 30-day all-cause readmission rate after surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) vary substantially. We conducted a systematic review and meta-analysis to examine the overall incidence, causes, and risk factors of 30-day all-cause readmission rate after SAVR and TAVR. Eight medical research databases were searched; Cochrane, Medline, Embase, UpToDate, PROSPERO, National Guideline Clearinghouse, SweMed and Oria. We followed The Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) for this study. Thirty-three articles were included in the systematic review, 32 of which were appropriate for the meta-analysis. Overall, 17% (95% CI: 16-18%) of patients in the SAVR group, and 16% (95% CI: 15-18%) in the TAVR groups were readmitted within 30 days. Heart failure, arrhythmia, infection, and respiratory problems were the most frequent causes of all-cause readmission after SAVR and TAVR. Most frequent reported prior risk factors for all-cause readmission following TAVR were diabetes, chronic lung disease/chronic obstructive pulmonary disease, atrial fibrillation, kidney problems, and transapical approach/nonfemoral access. For SAVR, no risk factors for 30-day all...Continue Reading

Citations

Jan 10, 2019·Diabetes & Vascular Disease Research : Official Journal of the International Society of Diabetes and Vascular Disease·Marko BanovicGerry P McCann
Feb 13, 2020·Journal of Cardiac Surgery·Marc G WeissBritt Borregaard
Dec 26, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Britt BorregaardJacob Eifer Møller
Oct 8, 2020·PloS One·Britt BorregaardJacob E Møller
Feb 6, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Maria ThilénChristina Christersson
Jul 6, 2020·The Canadian Journal of Cardiology·Andrew CzarneckiHarindra C Wijeysundera
Feb 16, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Venkata S PajjuruVenkata M Alla Md
May 14, 2020·The American Journal of Cardiology·Aaqib H MalikGilbert H L Tang

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