Evidence map›Paper›PMID 33938233›Full record

ArticleJournal of the American Heart Association2021

Hospital Variation in 30-Day Readmissions Following Transcatheter Aortic Valve Replacement.

Dhaval Kolte, Kevin Kennedy, Jason H Wasfy, Anupam B Jena, Sammy Elmariah

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Dhaval KolteCardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA.
Kevin KennedySaint Luke's Mid America Heart Institute Kansas City MO.
Jason H WasfyCardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA.
Anupam B JenaDepartment of Health Care Policy Harvard Medical School and Department of Medicine Massachusetts General Hospital Boston MA.
Sammy ElmariahCardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA.
Harvard University · USSaint Luke's Hospital · US

Funding

Multi-Omic Markers of Cardiac Function and Structure within the Pressure Overloaded HeartR01HL151838 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ELMARIAH, SAMMY · 2020 to 2024
$3.6M
NHLBI NIH HHS R01 HL151838
6 · The paper itself

Abstract

Background Data on hospital variation in 30-day readmission rates after transcatheter aortic valve replacement (TAVR) are limited. Further, whether such variation is explained by differences in hospital characteristics and hospital practice patterns remains unknown. Methods and Results We used the 2017 Nationwide Readmissions Database to identify hospitals that performed at least 5 TAVRs. Hierarchical logistic regression models were used to examine between-hospital variation in 30-day all-cause risk-standardized readmission rate (RSRR) after TAVR and to explore reasons underlying hospital variation in 30-day RSRR. The study included 27 091 index TAVRs performed across 325 hospitals. The median (interquartile range) hospital-level 30-day RSRR was 11.9% (11.1%-12.8%) ranging from 8.8% to 16.5%. After adjusting for differences in patient characteristics, there was significant between-hospital variation in 30-day RSRR (hospital odds ratio, 1.59; 95% CI, 1.39-1.77). Differences in length of stay and discharge disposition accounted for 15% of the between-hospital variance in RSRRs. There was no significant association between hospital characteristics and 30-day readmission rates after TAVR. There was statistically significant but weak correlation between 30-day RSRR after TAVR and that after surgical aortic valve replacement, percutaneous coronary intervention, acute myocardial infarction, heart failure, and pneumonia (

Indexed as

AgedAged, 80 and overAortic Valve StenosisFemaleFollow-Up StudiesHospitalsHumansIncidenceMalePatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTranscatheter Aortic Valve ReplacementUnited Statesaortic stenosishospital variationreadmissiontranscatheter aortic valve replacement

Identifiers

PMID33938233
PMCPMC8200708
OpenAlexW3159084977

What OpenQuestion holds

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LicenceCC BY-NC
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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.