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dc.contributor.authorDanielsen, Stein Ove
dc.contributor.authorMoons, Philip
dc.contributor.authorSandven, Irene
dc.contributor.authorLeegaard, Marit
dc.contributor.authorSolheim, Svein
dc.contributor.authorTønnessen, Theis
dc.contributor.authorLie, Irene
dc.date.accessioned2019-03-11T12:14:06Z
dc.date.accessioned2019-03-12T10:30:05Z
dc.date.available2019-03-11T12:14:06Z
dc.date.available2019-03-12T10:30:05Z
dc.date.issued2018-05-18
dc.identifier.citationDanielsen 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. 2018en
dc.identifier.issn0167-5273
dc.identifier.issn0167-5273
dc.identifier.issn1874-1754
dc.identifier.urihttps://hdl.handle.net/10642/6762
dc.description.abstractBackground: 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.sponsorshipThis 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.isoenen
dc.publisherElsevieren
dc.relation.ispartofseriesInternational 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.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectSurgical aortic valve replacementsen
dc.subjectTranscatheter aortic valve replacementsen
dc.subjectAortic stenosisen
dc.subjectThirty-day readmissionsen
dc.titleThirty-day readmissions in surgical and transcatheter aortic valve replacement: A systematic review and meta-analysisen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-03-11T12:14:06Z
dc.description.versionacceptedVersionen
dc.identifier.doihttp://dx.doi.org/10.1016/j.ijcard.2018.05.026
dc.identifier.cristin1597642
dc.source.journalInternational Journal of Cardiology


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© 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/
Except where otherwise noted, this item's license is described as © 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/