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Cardiac Rehabilitation Referral After Transcatheter Aortic Valve Replacement
Alex J Nusbickel1, Morgan H Randall1,2, Jeffrey M Plasschaert2
1From the Department of Medicine, University of Florida, Gainesville, FL.
Critical Pathways in Cardiology
|November 22, 2022
Summary
Cardiac rehabilitation referrals after transcatheter aortic valve replacement (TAVR) significantly increased following an educational initiative. This quality improvement program boosted TAVR patient enrollment in cardiac rehabilitation.
Area of Science:
- Cardiology
- Cardiac Surgery
- Quality Improvement
Background:
- Cardiac rehabilitation improves outcomes post-transcatheter aortic valve replacement (TAVR).
- Cardiac rehabilitation utilization remains low in the TAVR patient population.
Purpose of the Study:
- To enhance cardiac rehabilitation referral rates for patients undergoing TAVR.
- To implement a multidisciplinary quality improvement program to increase referrals.
Main Methods:
- A quality improvement initiative was designed and implemented.
- Cardiothoracic surgery providers received education on cardiac rehabilitation benefits.
- Cardiac rehabilitation staff participated in discharge rounds for post-TAVR patients.
Main Results:
- Overall TAVR patient referral rates to cardiac rehabilitation increased from 5% to 56%.
- Referrals made before hospital discharge rose from 0.8% to 53%.
- Both increases were statistically significant (P < 0.0001).
Conclusions:
- A combined educational approach and multidisciplinary team involvement significantly improved TAVR cardiac rehabilitation referrals.
- This strategy effectively addressed underutilization of cardiac rehabilitation in TAVR patients.
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