Peri-procedural code status for transcatheter aortic valve replacement: Absence of program policies and standard practices.
Gwen M BernackiHelene StarksAshok KrishnaswamiJill Marie SteinerMatthew B AllenWayne B BatchelorEugene YangJanet WymanJames N KirkpatrickPublished in: Journal of the American Geriatrics Society (2022)
Marked heterogeneity exists in management of peri-procedural code status across TAVR programs, including timeframe for reestablishing DNR status post-procedure. These findings call for standardization of DNR decisions at specific care points (before/during/after TAVR) to ensure consistent alignment with patients' health-related goals and values.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- ejection fraction
- healthcare
- end stage renal disease
- public health
- quality improvement
- newly diagnosed
- primary care
- peritoneal dialysis
- prognostic factors
- palliative care
- single cell
- heart failure
- patient reported outcomes
- minimally invasive
- pain management