Impact of Hospital Volume on Outcomes of Endovascular Stenting for Adult Aortic Coarctation
Bhatt P, Patel NJ, Patel A, Sonani R, Patel A, Panaich SS, Thakkar B, Savani C, Jhamnani S, Patel N, Patel N, Pant S, Patel S, Arora S, Dave A, Singh V, Chothani A, Patel J, Ansari M, Deshmukh A, Bhimani R, Grines C, Cleman M, Mangi A, Forrest JK, Badheka AO. Impact of Hospital Volume on Outcomes of Endovascular Stenting for Adult Aortic Coarctation. The American Journal Of Cardiology 2015, 116: 1418-1424. PMID: 26471501, DOI: 10.1016/j.amjcard.2015.07.066.Peer-Reviewed Original ResearchConceptsLength of stayAnnual hospital volumeShorter LOSNationwide Inpatient Sample databaseHospital volumeProcedure-related complicationsEndovascular stentingNinth RevisionInternational ClassificationUtilization Project Nationwide Inpatient Sample databaseClinical Modification procedure codesAdult aortic coarctationUnique hospital identifiersNationwide Inpatient SampleTreatment of coarctationMultivariate regression analysisComposite outcomeHighest tertileInhospital deathAortic coarctationRetrospective studyInpatient SampleStent placementLower incidenceIdentified subjectsMechanical Circulatory Support Devices and Transcatheter Aortic Valve Implantation (from the National Inpatient Sample)
Singh V, Patel SV, Savani C, Patel NJ, Patel N, Arora S, Panaich SS, Deshmukh A, Cleman M, Mangi A, Forrest JK, Badheka AO. Mechanical Circulatory Support Devices and Transcatheter Aortic Valve Implantation (from the National Inpatient Sample). The American Journal Of Cardiology 2015, 116: 1574-1580. PMID: 26434512, DOI: 10.1016/j.amjcard.2015.08.020.Peer-Reviewed Original ResearchConceptsTranscatheter aortic valve implantationMechanical circulatory support devicesAortic valve implantationCirculatory support devicesMCS devicesValve implantationHigh-risk surgical patientsPropensity score-matched analysisClinical Modification procedure codesSupport devicesVentricular fibrillation arrestNationwide Inpatient SampleCost of hospitalizationShort-term useSignificant increaseUnacceptably high ratesInhospital mortalityInhospital outcomesCardiogenic shockIndependent predictorsSurgical patientsNinth RevisionTAVI procedureTransapical accessInpatient SampleComparison of Inhospital Outcomes of Surgical Aortic Valve Replacement in Hospitals With and Without Availability of a Transcatheter Aortic Valve Implantation Program (from a Nationally Representative Database)
Singh V, Badheka AO, Patel SV, Patel NJ, Thakkar B, Patel N, Arora S, Patel N, Patel A, Savani C, Ghatak A, Panaich SS, Jhamnani S, Deshmukh A, Chothani A, Sonani R, Patel A, Bhatt P, Dave A, Bhimani R, Mohamad T, Grines C, Cleman M, Forrest JK, Mangi A. Comparison of Inhospital Outcomes of Surgical Aortic Valve Replacement in Hospitals With and Without Availability of a Transcatheter Aortic Valve Implantation Program (from a Nationally Representative Database). The American Journal Of Cardiology 2015, 116: 1229-1236. PMID: 26297512, DOI: 10.1016/j.amjcard.2015.07.039.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAortic ValveBicuspid Aortic Valve DiseaseCardiac Care FacilitiesDatabases, FactualFemaleHeart Defects, CongenitalHeart Valve DiseasesHospital MortalityHospitalizationHumansMaleMiddle AgedPropensity ScoreTranscatheter Aortic Valve ReplacementTreatment OutcomeUnited StatesConceptsSurgical aortic valve replacementTranscatheter aortic valve implantation (TAVI) programCo-morbidity scoreAortic valve replacementTAVI programNationwide Inpatient SampleTAVI groupComplication rateInhospital outcomesValve replacementConventional surgical aortic valve replacementCharlson co-morbidity scoreClinical Modification procedure codesLower inhospital mortalityAortic valve diseaseCost of hospitalizationImplantation programYears of ageInhospital mortalitySAVR proceduresHospital stayValve diseaseNinth RevisionMean agePatient populationMultivessel Percutaneous Coronary Interventions in the United States
Arora S, Panaich SS, Patel NJ, Patel N, Solanki S, Deshmukh A, Singh V, Lahewala S, Savani C, Thakkar B, Dave A, Patel A, Bhatt P, Sonani R, Patel A, Cleman M, Forrest JK, Schreiber T, Badheka AO, Grines C. Multivessel Percutaneous Coronary Interventions in the United States. Angiology 2015, 67: 326-335. PMID: 26145455, DOI: 10.1177/0003319715593853.Peer-Reviewed Original ResearchConceptsMultivessel percutaneous coronary interventionLength of stayNationwide Inpatient SamplePercutaneous coronary interventionInhospital mortalityStent PCICoronary interventionSecondary outcomesHospitalization costsUtilization Project Nationwide Inpatient SampleMultivessel coronary artery diseaseShorter LOSClinical Modification procedure codesHigher inhospital mortalityHigh-volume hospitalsCoronary artery diseaseSignificant mortality riskAcute myocardial infarctionLower hospitalization costsCost of careDifferent International ClassificationInhospital outcomesCause mortalityPeriprocedural complicationsVolume hospitalsEffect of Hospital Volume on Outcomes of Transcatheter Aortic Valve Implantation
Badheka AO, Patel NJ, Panaich SS, Patel SV, Jhamnani S, Singh V, Pant S, Patel N, Patel N, Arora S, Thakkar B, Manvar S, Dhoble A, Patel A, Savani C, Patel J, Chothani A, Savani GT, Deshmukh A, Grines CL, Curtis J, Mangi AA, Cleman M, Forrest JK. Effect of Hospital Volume on Outcomes of Transcatheter Aortic Valve Implantation. The American Journal Of Cardiology 2015, 116: 587-594. PMID: 26092276, DOI: 10.1016/j.amjcard.2015.05.019.Peer-Reviewed Original ResearchConceptsTranscatheter aortic valve implantationLength of stayShorter LOSNationwide Inpatient Sample databaseInhospital mortality rateAortic valve implantationLower hospitalization costsHospital volumeInhospital mortalityComplication rateValve implantationHospitalization costsMortality rateUtilization Project Nationwide Inpatient Sample databaseHigher annual hospital volumeOverall inhospital mortality rateMedian LOSClinical Modification procedure codesMultivariate logistic regression modelAnnual hospital volumeLowest volume quartileLow-volume hospitalsPostprocedural complication rateCost of hospitalizationCross-sectional study