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Patient reported experience measures in TAVI procedures: VALVEX study.

Miryam González-Cebrian1,2,3,4, Jose Luis Mendoza García5, Ignacio Cruz-González1,2,3

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Summary

Patients undergoing Transcatheter Aortic Valve Implantation (TAVI) report high satisfaction with the procedure and care, particularly from the TAVI nurse. Improving pre-procedure information and addressing delays can further enhance the patient experience.

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Area of Science:

  • Cardiology
  • Patient Experience Research

Background:

  • Transcatheter Aortic Valve Implantation (TAVI) is a primary treatment for aortic stenosis (AS), offering an alternative to surgical valve replacement.
  • While clinical outcomes are well-documented, patient perspectives on TAVI remain underexplored.

Purpose of the Study:

  • To evaluate the patient experience and satisfaction following Transcatheter Aortic Valve Implantation (TAVI).

Main Methods:

  • A descriptive observational study involving 100 patients who underwent TAVI in two Spanish hospitals.
  • A custom questionnaire (VALVEX) was developed and administered to patients 30 days post-procedure during TAVI nurse-led follow-up.

Main Results:

  • Patients reported a mean satisfaction score of 9/10, with 96% recommending TAVI.
  • High satisfaction was noted for pre-procedure information, care during the procedure and admission, and the TAVI nurse's role in follow-up.
  • Areas for improvement included hospital catering, diagnostic-to-treatment delays, and patient involvement in decision-making.

Conclusions:

  • Evaluating patient experience is crucial for refining TAVI information and preparation, leading to reduced anxiety and improved satisfaction.
  • Continuous follow-up by TAVI nurses is vital for monitoring recovery and addressing patient concerns.
  • Integrating Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs) with patient input is essential for a patient-centered TAVI pathway.