Evidence map›Paper›PMID 38084613›Full record

ArticleCirculation. Cardiovascular quality and outcomes2023

Days at Home After Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients.

Mabel Chung, Zaid I Almarzooq, Jiaman Xu, Yang Song, Suzanne J Baron, Dhruv S Kazi, Robert W Yeh

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

7 authors at 3 institutions in 1 country.

Mabel ChungDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston (M.C.).ORCID 0000-0002-4057-9841
Zaid I AlmarzooqDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).ORCID 0000-0001-5413-6219
Jiaman XuDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).
Yang SongDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).
Suzanne J BaronDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).ORCID 0000-0002-8319-5637
Dhruv S KaziDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).ORCID 0000-0002-9510-2979
Robert W YehDivision of Cardiovascular Medicine, Department of Medicine, Smith Center for Outcomes Research in Cardiology (M.C., Z.I.A., J.X., Y.S., S.J.B., D.S.K., R.W.Y.).ORCID 0000-0002-0564-4468
Beth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USLahey Hospital and Medical Center · US

Funding

Research Training for AnesthetistsT32GM007592 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI STUART A FORMAN · 1985 to 2026
$11.8M
NHLBI NIH HHS L30 HL148964NIGMS NIH HHS T32 GM007592
6 · The paper itself

Abstract

backgroundDays at home (DAH) represents an important patient-oriented outcome that quantifies time spent at home after a medical event; however, this outcome has not been fully evaluated for low-surgical-risk patients undergoing transcatheter aortic valve replacement (TAVR). We sought to compare 1- and 2-year DAH (DAH

methodsUsing Medicare-linked data from the Evolut Low Risk trial, we identified 619 patients: 606 (322 TAVR/284 SAVR) and 593 (312 TAVR/281 SAVR) were analyzed at 1 and 2 years, respectively. DAH was calculated as days alive and spent outside a hospital, inpatient rehabilitation, skilled nursing facility, long-term acute care hospital, emergency department, or observation stay. Mean DAH was compared using the

resultsThe mean (SD) age and female sex were 74.7 (5.1) and 74.3 (4.9) years and 34.6% (115/332) and 30.3% (87/287) in TAVR and SAVR, respectively. Postprocedural discharge to rehabilitation occurred in ≤3.0% (≤10/332) in TAVR and 4.5% (13/287) in SAVR. The mean DAH

conclusionsIn the Evolut Low Risk trial linked to Medicare, low-risk patients undergoing TAVR spend a similar number of days at home at 1 and 2 years compared with SAVR. Days spent at home at 30 and 90 days were higher in TAVR. In contrast to higher-risk patients studied in prior work, there is no clear advantage of TAVR versus SAVR for DAH in the first 2 years after AVR in low-surgical-risk patients.

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAgedAortic ValveFemaleHumansMaleMedicareRandomized Controlled Trials as TopicRisk FactorsTreatment OutcomeUnited Statesaortic valvebioprosthesishypertensionmyocardial infarctiontranscatheter aortic valve replacement

Identifiers

PMID38084613
PMCPMC10752241
OpenAlexW4389623597

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.