Transfemoral aortic valve implantation: procedural hospital volume and mortality in Germany.
Kurt BestehornMaike BestehornRalf ZahnChristian PeringsChristoph StellbrinkVolker SchächingerPublished in: European heart journal (2022)
The association between hospital volume and in-hospital mortality in patients undergoing elective TF-TAVI in Germany in 2018 and 2019 was weak and not consistent throughout various analytical approaches, indicating no clinical relevance of hospital volume for the outcome. However, these data were derived from a healthcare system with restricted access to hospitals to perform TAVI and overall high TAVI volumes. Instead of the unprecise surrogate hospital volume, the quality of hospitals performing TF-TAVI should be directly assessed by real achieved risk-adjusted mortality.
Keyphrases
- aortic valve
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve replacement
- healthcare
- patients undergoing
- acute care
- adverse drug
- cardiovascular events
- ejection fraction
- risk factors
- coronary artery disease
- machine learning
- mass spectrometry
- big data
- quality improvement
- liquid chromatography