Aortic Valve Replacement in the Moderately Elevated Risk Patient: A Population-Based Analysis of Outcomes

Abstract

This population-based contemporary assessment suggests moderate-risk patients undergoing AVR experience favorable outcomes. Although increasing PROM is important in preoperative evaluation of risk, preexisting pulmonary hypertension and indication for operation are among other factors that should be considered as TAVR expands into this group of patients.

Effect of early, individualised and intensified follow-up after open heart valve surgery on unplanned cardiac hospital readmissions and all-cause mortality

“…Among patients undergoing aortic valve replacement a recent review and meta-analysis reported 30-day readmission rates varying from 7% to 23% (pooled estimate 17%) (8), whereas others have found even higher rates of readmission (3,18). The varying proportions of readmission in previous studies are multifactorial (3,4,6,7,9) was follow-up according to specific patient needs and the intensified patient education, from the view point that "one size does not fit all".…”

“…Readmission rates vary considerably internationally, especially between European countries and the United States (3,(6)(7)(8). This may likely be due to different discharge strategies with high utility of discharge to skilled nursing facilities compared with discharge directly to home, to economic penalties for high readmission rates (4,6,9). A recent study highlighted the need for prospective testing of follow-up according to specific patient needs, to reduce readmissions (6).…”

Perioperative Stroke, In-Hospital Mortality, and Postoperative Morbidity Following Transcatheter Aortic Valve Implantation: A Nationwide Study

“…The overall rates of mortality and morbidity in the present study were 4.57 and 71.12%, respectively, which is consistent with the findings of recent studies. 1 21 A particularly interesting finding was that the rate of mortality in those experiencing a perioperative stroke was notably high at 16.83%.…”

Bridging gaps in heart valve disease care: Opportunities for quality improvement

“…Three articles did introduce aspects of mortality and other outcomes after valve replacement procedures. [20][21][22] ages 65 years and older were not aware of heart valve disease. 26 Furthermore, evidence shows that a large proportion of heart murmurs, which often serve as a primary diagnosis for heart valve disease, are often missed by primary care.…”