dc.contributor.author | Danielsen, Stein Ove | |
dc.contributor.author | Moons, Philip | |
dc.contributor.author | Sandven, Irene | |
dc.contributor.author | Leegaard, Marit | |
dc.contributor.author | Solheim, Svein | |
dc.contributor.author | Tønnessen, Theis | |
dc.contributor.author | Lie, Irene | |
dc.date.accessioned | 2019-03-11T12:14:06Z | |
dc.date.accessioned | 2019-03-12T10:30:05Z | |
dc.date.available | 2019-03-11T12:14:06Z | |
dc.date.available | 2019-03-12T10:30:05Z | |
dc.date.issued | 2018-05-18 | |
dc.identifier.citation | Danielsen SO, Moons P, Sandven I, Leegaard M, Solheim S, Tønnessen T, Lie I. Thirty-day readmissions in surgical and transcatheter aortic valve replacement: A systematic review and meta-analysis. International Journal of Cardiology. 2018 | en |
dc.identifier.issn | 0167-5273 | |
dc.identifier.issn | 0167-5273 | |
dc.identifier.issn | 1874-1754 | |
dc.identifier.uri | https://hdl.handle.net/10642/6762 | |
dc.description.abstract | Background: The 30-day all-cause readmission rate after surgical aortic valve replacement (SAVR) and
transcatheter aortic valve replacement (TAVR) vary substantially. We conducted a systematic
review and meta-analysis to examine the overall incidence, causes, and risk factors of 30-day
all-cause readmission rate after SAVR and TAVR.
Methods: Eight medical research databases were searched; Cochrane, Medline, Embase, UpToDate,
PROSPERO, National Guideline Clearinghouse, SweMed and Oria. We followed The
Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) for this
study.
Results: Thirty-three articles were included in the systematic review, 32 of which were appropriate for
the meta-analysis. Overall, 17% (95% CI: 16-18%) of patients in the SAVR group, and 16%
(95% CI: 15-18%) in the TAVR groups were readmitted within 30 days. Heart failure,
arrhythmia, infection, and respiratory problems were the most frequent causes of all-cause
readmission after SAVR and TAVR. Most frequent reported prior risk factors for all-cause
readmission following TAVR were diabetes, chronic lung disease/chronic obstructive
pulmonary disease, atrial fibrillation, kidney problems, and transapical approach/nonfemoral
access. For SAVR, no risk factors for 30-day all-cause readmission were reported in the
literature to date.
Conclusion: In conclusion, the overall proportion of 30-day all-cause readmission after SAVR and TAVR
are high. Interventions to prevent avoidable readmissions ought to be developed and
implemented. | en |
dc.description.sponsorship | This project has been made possible by the Norwegian ExtraFoundation for Health and Rehabilitation, the Bergesen Foundation, and the Raagholt Foundation (all non-profit organizations). | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.relation.ispartofseries | International Journal of Cardiology;Volume 268, 1 October 2018 | |
dc.rights | © 2018. This manuscript version is made available under the the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | en |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.subject | Surgical aortic valve replacements | en |
dc.subject | Transcatheter aortic valve replacements | en |
dc.subject | Aortic stenosis | en |
dc.subject | Thirty-day readmissions | en |
dc.title | Thirty-day readmissions in surgical and transcatheter aortic valve replacement: A systematic review and meta-analysis | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-03-11T12:14:06Z | |
dc.description.version | acceptedVersion | en |
dc.identifier.doi | http://dx.doi.org/10.1016/j.ijcard.2018.05.026 | |
dc.identifier.cristin | 1597642 | |
dc.source.journal | International Journal of Cardiology | |