Same-Day Discharge After Transcatheter Aortic Valve Replacement-Reference-Cited by-同舟云学术

Same-Day Discharge After Transcatheter Aortic Valve Replacement

Published:2022-06-28 Issue: Volume: Page:53-59
ISSN:2053-423X
Container-title:EMJ Interventional Cardiology
language:
Short-container-title:EMJ Int Cardiol

Author:

Crepy D’Orleans Charles Crepy¹,Keegan Patricia²,Devireddy Chandan M.²,Grubb Kendra J.²

Affiliation:

1. Emory University School of Medicine, Atlanta, Georgia, USA

2. Structural Heart and Valve Center, Divisions of Cardiology and Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA

Abstract

Transcatheter aortic valve replacement (TAVR) has been established as an alternative to surgical aortic valve replacement in select patients with severe aortic stenosis. Next-day discharge (NDD) after TAVR allow patients rapid mobilisation to return home. A minimalist pathway using NDD has been shown to be effective and safe in carefully selected patients. Following the COVID-19 pandemic and earlier reports of same-day discharge (SDD) after TAVR, in 2020 several institutions modified NDD protocols to carefully select patients for discharge the same day. These protocols maximised efficiency and resource utilisation while minimising COVID-19 exposures, hospital length of stay, and healthcare-associated costs, both to the institution and to the patient. In this literature review, the authors discuss the precedent for SDD after TAVR, investigate the pressure for efficiency amidst a global pandemic, and assess the safety and feasibility of SDD as seen across multiple healthcare systems.

Publisher

European Medical Group

Subject

General Earth and Planetary Sciences,General Environmental Science

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