Clinical process optimization of transfemoral transcatheter aortic valve implantation.

Background: The avoidance of prolonged hospital stay is a major goal in the management of transcatheter aortic valve implantation (TAVI) - medically and economically. Materials & methods: We compared the time range of the preprocedural length of stay in 2014/2015 with 2016/2017, after the implementa...

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Publicado en:Future Cardiology Vol. 17; no. 2; pp. 321 - 328
Autores principales: Lortz, Julia, Lortz, Tobias Peter, Johannsen, Laura, Rammos, Christos, Steinmetz, Martin, Lind, Alexander, Rassaf, Tienush, Jánosi, Rolf Alexander
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
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      pub: Taylor & Francis Ltd
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        10.2217/fca-2020-0010
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        atl: Clinical process optimization of transfemoral transcatheter aortic valve implantation.
      aug:
        au:
          Lortz, Julia
          Lortz, Tobias Peter
          Johannsen, Laura
          Rammos, Christos
          Steinmetz, Martin
          Lind, Alexander
          Rassaf, Tienush
          Jánosi, Rolf Alexander
        affil: Department of Cardiology & Vascular Medicine, West German Heart & Vascular Center Essen, University of Duisburg-Essen, Essen, Germany
      sug:
        subj:
          Aortic Valve Stenosis Surgery
          Heart Valve Prosthesis
          Human
          Length of Stay
          Aortic Valve Surgery
          Treatment Outcomes
          Fluoroscopy
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
      ab: Background: The avoidance of prolonged hospital stay is a major goal in the management of transcatheter aortic valve implantation (TAVI) - medically and economically. Materials & methods: We compared the time range of the preprocedural length of stay in 2014/2015 with 2016/2017, after the implementation of the TAVI coordinator in 2016. This included restructured pathways for screening and pre-interventional diagnosis, performed examinations during the inpatient stay and major outcome variables. Results: After 2016, we observed a significant reduction in preprocedural length of stay (admission to procedure) compared with 2014/2015 (11.3 ± 7.9 vs 7.5 ± 5.6 days, p = 0.001). There was no difference in other major outcome variables. Conclusion: The introduction of the TAVI coordinator caused a shortening of preprocedural length of stay.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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