Clinical process optimization of transfemoral transcatheter aortic valve implantation.
Julia LortzTobias Peter LortzLaura JohannsenChristos RammosMartin SteinmetzAlexander LindTienush RassafRolf Alexander JánosiPublished in: Future cardiology (2020)
Background: The avoidance of prolonged hospital stay is a major goal in the management of transcatheter aortic valve implantation (TAVI) - medically and economically. Materials & methods: We compared the time range of the preprocedural length of stay in 2014/2015 with 2016/2017, after the implementation of the TAVI coordinator in 2016. This included restructured pathways for screening and pre-interventional diagnosis, performed examinations during the inpatient stay and major outcome variables. Results: After 2016, we observed a significant reduction in preprocedural length of stay (admission to procedure) compared with 2014/2015 (11.3 ± 7.9 vs 7.5 ± 5.6 days, p = 0.001). There was no difference in other major outcome variables. Conclusion: The introduction of the TAVI coordinator caused a shortening of preprocedural length of stay.
Keyphrases
- transcatheter aortic valve implantation
- aortic valve
- aortic valve replacement
- aortic stenosis
- healthcare
- transcatheter aortic valve replacement
- acute care
- ejection fraction
- primary care
- mental health
- palliative care
- minimally invasive
- left ventricular
- heart failure
- atrial fibrillation
- quality improvement
- electronic health record