Evidence map›Paper›PMID 28862964›Full record

ArticleJournal of the American Heart Association2017

Hospital Practice of Direct-Home Discharge and 30-Day Readmission After Transcatheter Aortic Valve Replacement in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy (STS/ACC TVT) Registry.

John A Dodson, Mathew R Williams, David J Cohen, Pratik Manandhar, Sreekanth Vemulapalli, Caroline Blaum, Hua Zhong, John S Rumsfeld, Judith S Hochman

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Risk for non-home discharge following surgery for ischemic mitral valve disease.The Journal of thoracic and cardiovascular surgery · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

John A DodsonLeon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY john.dodson@nyumc.org.
Mathew R WilliamsLeon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY.
David J CohenSaint Luke's Mid America Heart Institute, Kansas City, MO.
Pratik ManandharDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
Sreekanth VemulapalliDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
Caroline BlaumDivision of Geriatrics, Department of Medicine, New York University School of Medicine, New York, NY.
Hua ZhongDivision of Epidemiology, Department of Population Health, New York University School of Medicine, New York, NY.
John S RumsfeldUniversity of Colorado School of Medicine, Aurora, CO.
Judith S HochmanLeon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY.

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Geriatric impairments, risk of treatment-related harms, and shared decision-making among older adults with acute myocardial infarctionK23AG052463 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DODSON, JOHN A · 2016 to 2019
$658k
NCATS NIH HHS UL1 TR001445NIA NIH HHS K23 AG052463
6 · The paper itself

Abstract

backgroundNearly 17% of patients are readmitted within 30 days of discharge after transcatheter aortic valve replacement. Selected patients are discharged to skilled nursing facilities, yet the association between a hospital's practice to discharge home versus to skilled nursing facilities, and readmission remains unclear. METHODS AND

resultsThe Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy (STS/ACC TVT) Registry was used to evaluate readmissions among patients undergoing transcatheter aortic valve replacement (2011-2015). Hospitals were divided into quartiles (Q1-Q4) based on the percentage of patients discharged directly home. We assessed patient and hospital level characteristics and used hierarchical logistic regression to analyze the association of discharge disposition with 30-day readmission. Our cohort included 18 568 transcatheter aortic valve replacement patients at 329 US hospitals, of whom 69% were discharged directly home. Hospitals in the highest quartile of direct home discharge (Q4) compared with hospitals in the lowest (Q1) were more likely to use femoral access (75.2% versus 60.1%,

conclusionsThere was no statistically significant association between hospital practice of direct home discharge post-transcatheter aortic valve replacement and 30-day readmission. Further research is needed to understand regional variations and optimum strategies for postdischarge care.

Indexed as

AgedAged, 80 and overAge FactorsAortic ValveChi-Square DistributionComorbidityFemaleHealthcare DisparitiesHospitalsHumansLogistic ModelsMaleMultivariate AnalysisOdds RatioPatient DischargePatient Readmissiongeriatricshospital readmissionregistrytranscatheter aortic valve implantation

Identifiers

PMID28862964
PMCPMC5586454

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.