TAVR associated with shorter hospital stay, compared to SAVR

September 14, 2018, University of North Carolina Health Care
John P. Vavalle, MD, is the study's corresponding author. Credit: UNC School of Medicine

For many years, surgical aortic valve replacement (SAVR) has been considered the standard of care for older adults with aortic stenosis. In recent years, transcatheter aortic valve replacement (TAVR) has increasingly gained acceptance as a less-invasive treatment option.

But how does TAVR compare to SAVR when it comes to the metrics of average length of stay (LOS) in the hospital and discharge to home versus discharge to a skilled nursing facility? A new study led by researchers in the UNC School of Medicine's division of cardiology and published Sept. 14 in Circulation: Cardiovascular Interventions seeks to answer that question.

The study authors analyzed hospitalizations data from the National Inpatient Sample (NIS) database for more than 13,000 adults aged 50 or older who underwent either TAVR or SAVR between 2012 and 2015. They found that the average length of stay declined among both groups of patients, but there was a significantly greater reduction among TAVR patients.

In addition, they found that during the course of the study, the percentage of TAVR patients who were being discharged to home/home health care increased from 67.7 percent to 77.4 percent, the percentage of TAVR patients who were being transferred to skilled nursing facilities decreased from 27.1 percent to 20.7 percent, and the in-hospital mortality of TAVR patients decreased from 4.2 percent to 1.6 percent.

Overall, patients who underwent TAVR had a significantly shorter length of stay and were significantly less likely to be transferred to a skilling nursing facility compared to patients who underwent SAVR.

"From 2012 to 2015, there was substantial decrease in LOS and an increase in the proportion of home discharges during the same time period among patients undergoing TAVR. In addition, high-risk had a significantly shorter LOS when undergoing TAVR, were more likely to be discharged home, and were less likely to be discharged to a skilled nursing facility, compared to if they had undergone SAVR," the study concludes.

Explore further: Increase in proportion of TAVR used from 2012 to 2015

Related Stories

Increase in proportion of TAVR used from 2012 to 2015

August 6, 2018
(HealthDay)—From 2012 to 2015, there was an increase in the number of patients overall and age 65 years and younger receiving transcatheter aortic valve replacement (TAVR), according to a research letter published online ...

TAVR cost-effective compared with SAVR in intermediate risk patients with aortic stenosis

November 1, 2017
Analysis of the PARTNER 2A trial and the SAPIEN-3 Intermediate Risk registry found transcatheter aortic valve replacement (TAVR) to be highly cost-effective compared with surgical aortic valve replacement (SAVR) in intermediate ...

New study shows length of hospital stay impacts outcomes after TAVR procedure

April 26, 2018
A new study finds patients who stay in the hospital for more than 72 hours when undergoing trans-femoral transcatheter aortic valve replacement (TF-TAVR) procedure may be associated with negative short and long-term outcomes. ...

Patients with new-onset AFib after TAVR at highest risk for complications

September 3, 2018
Patients developing AFib after TAVR are at higher risk of death, stroke and heart attack compared to patients who already had AFib prior to the procedure, according to a study today in JACC: Cardiovascular Interventions. ...

Depression ups mortality risk post aortic valve replacement

February 4, 2018
(HealthDay)—The presence of depressive symptoms among older adults undergoing transcatheter (TAVR) or surgical (SAVR) aortic valve replacement increases the risk of mortality, according to research published online Jan. ...

Results of PARTNER II QUALITY OF LIFE study presented

November 1, 2016
Patients with severe aortic stenosis (AS) at intermediate surgical risk, and who are treated with transcatheter aortic valve replacement (TAVR) had improved health status at one month compared with surgical aortic valve replacement ...

Recommended for you

Study reveals a promising alternative to corticosteroids in acute renal failure treatment

September 21, 2018
A protein produced by the human body appears to be a promising new drug candidate to treat conditions that lead to acute renal failure. This is shown by a study conducted at São Paulo State University (UNESP) in São José ...

Can a common heart condition cause sudden death?

September 20, 2018
About one person out of 500 has a heart condition known as hypertrophic cardiomyopathy (HCM). This condition causes thickening of the heart muscle and results in defects in the heart's electrical system. Under conditions ...

New drugs could reduce risk of heart disease when added to statins

September 20, 2018
New drugs that lower levels of triglycerides (a type of fat) in blood could further reduce the risk of heart attack when added to statins. These new drugs, which are in various stages of development, could also reduce blood ...

Mediterranean-style diet may lower women's stroke risk

September 20, 2018
Following a Mediterranean-style diet may reduce stroke risk in women over 40 but not in men—according to new research led by the University of East Anglia.

Inflammation critical for preventing heart attacks and strokes, study reveals

September 19, 2018
Inflammation, long considered a dangerous contributor to atherosclerosis, actually plays an important role in preventing heart attacks and strokes, new research from the University of Virginia School of Medicine reveals.

People who walk just 35 minutes a day may have less severe strokes

September 19, 2018
People who participate in light to moderate physical activity, such as walking at least four hours a week or swimming two to three hours a week, may have less severe strokes than people who are physically inactive, according ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.