ArticleBMC cardiovascular disorders2017
Factors associated with length of stay following trans-catheter aortic valve replacement - a multicenter study.
Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Computed tomography derived anatomical predictors of vascular access complications following transfemoral transcatheter aortic valve implantation: A systematic review.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2024Pooled it
- Ultrasound- Versus Fluoroscopy-Guided Strategy for Transfemoral Transcatheter Aortic Valve Replacement Access: A Systematic Review and Meta-Analysis.Circulation. Cardiovascular interventions · 2021Pooled it
- Preliminary Outcome of Transcatheter Aortic Valve Implantation at Centers Without On-Site Cardiac Surgery.Journal of cardiovascular development and disease · 2026Article
- Annular rupture in TAVI: considerations on the importance of on-site cardiothoracic surgery.Journal of cardiothoracic surgery · 2026Article
- Transfemoral Transcatheter Aortic Valve Implantation at Hospitals Without On-Site Cardiac Surgery (TAVI at Home): A Multicenter Prospective Interventional Study.Journal of cardiovascular development and disease · 2025Article
- Machine Learning Identification of Modifiable Predictors of Patient Outcomes After Transcatheter Aortic Valve Replacement.JACC. Advances · 2024Article
- Review
- Regional Differences in Outcomes for Patients Undergoing Transcatheter Aortic Valve Replacement in New York State and Ontario.The Canadian journal of cardiology · 2023Observational
- Effect of remimazolam on the incidence of delirium after transcatheter aortic valve implantation under general anesthesia: a retrospective exploratory study.Journal of anesthesia · 2023Article
- Local Anesthesia versus Conscious Sedation among Patients Undergoing Transcatheter Aortic Valve Implantation-A Propensity Score Analysis.Journal of clinical medicine · 2022Article
- Financial Incentives for Transcatheter Aortic Valve Implantation in Ontario, Canada: A Cost-Utility Analysis.Journal of the American Heart Association · 2022Article
- Urgent transcatheter aortic valve implantation in an all-comer population: a single-centre experience.BMC cardiovascular disorders · 2021Article
- Predictors for non-delayed discharge after transcatheter aortic valve replacement: utility of echocardiographic parameters.The international journal of cardiovascular imaging · 2021Article
- Guidelines for Balancing Priorities in Structural Heart Disease During the COVID-19 Pandemic.Cardiovascular revascularization medicine : including molecular interventions · 2020Review
- Comparative Outcomes of Transapical Versus Transfemoral Access for Transcatheter Aortic Valve Replacement in Diabetics.Cardiology and therapy · 2020Article
- Trends and effect of atrial fibrillation on inpatient outcomes after transcatheter aortic valve replacement.Cardiovascular diagnosis and therapy · 2020Article
- Transcatheter aortic valve replacement- management of patients with significant coronary artery disease undergoing aortic valve interventions: surgical compared to catheter-based approaches in hybrid procedures.BMC cardiovascular disorders · 2019Observational
- Association Between Wait Time for Transcatheter Aortic Valve Replacement and Early Postprocedural Outcomes.Journal of the American Heart Association · 2019Article
- A Risk Prediction Model for Prolonged Length of Stay After Minimally Invasive Valve Surgery.Innovations (Philadelphia, Pa.)Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost patients undergoing Transcatheter aortic valve implantation (TAVR) are elderly with significant co-morbidities and there is limited information available regarding factors that influence length of stay (LOS) post-procedure. The aim of this study was to identify the patient, and procedural factors that affect post-TAVR LOS using a contemporary multinational registry.
methodsWe conducted a retrospective cohort study, with patients recruited from three high volume tertiary institutions. The primary outcome was the LOS post-TAVR procedure. We examined patient and procedural factors in a cause-specific Cox multivariable regression model to elucidate their effect on LOS, accounting for the competing risk of post-procedural death. Hazard ratios (HR) greater than 1 indicate a shorter LOS, while HRs less than 1 indicate a longer LOS.
resultsThe cohort consisted of 809 patients. Patient factors associated with longer LOS were older age, prior atrial fibrillation, and greater patient urgency. Patient factors associated with shorter LOS were lower NYHA class, higher ejection fraction and higher mean aortic valve gradients. Procedural characteristics associated with shorter LOS were conscious sedation (HR = 1.19, 95% CI 1.06-1.35, p = 0.004). Transapical access was associated with prolonged LOS (HR = 0.49, 95% CI 0.41-0.58, p < 0.001).
conclusionThis multicenter study identified potentially modifiable patient and procedural factors associated with a prolonged LOS. Future research is needed to determine if interventions focused on these factors will translate to a shorter LOS.
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