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Bring the old boys-and girls-Back home

Francesco Saia1

  • 1Cardiology Unit, Cardio-Thoracic-Vascular Department, University Hospital of Bologna, Bologna, Italy.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 1, 2019
PubMed

Insights

Patients not discharged home after transcatheter aortic valve replacement face higher mortality. Hospital protocols should reduce unnecessary non-home discharges to improve patient outcomes.

Area of Science:

  • Cardiology
  • Healthcare Management
  • Outcomes Research

Background:

  • Transcatheter aortic valve replacement (TAVR) is a common procedure for aortic stenosis.
  • Discharge disposition significantly impacts patient outcomes post-TAVR.
  • Non-home discharge is associated with increased mortality in TAVR patients.

Discussion:

  • Investigating the reasons for worse outcomes in patients discharged to non-home settings is crucial.
  • Understanding the drivers behind higher non-home discharge rates in specific subgroups, such as women, is necessary.
  • Current hospital protocols may not adequately address the factors leading to non-home discharges.

Key Insights:

  • Non-home discharge after TAVR is a significant predictor of higher follow-up mortality.
  • Reducing unnecessary non-home discharges is a desirable clinical practice improvement.
  • Further research is needed to elucidate the causes and consequences of non-home discharge.

Outlook:

  • Developing targeted interventions to mitigate risks associated with non-home discharge.
  • Implementing hospital-wide strategies to optimize discharge planning for TAVR patients.
  • Future studies should focus on patient-specific factors influencing discharge destination and long-term survival.

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