Better survival after transcatheter aortic valve replacement by process improvements

Objective The aim of this study is to assess the effects on procedural, 30-day, and 1‑year all-cause mortality by a newly introduced quality improvement strategy in patients after transcatheter aortic valve replacement (TAVR). Methods In October 2015, a coherent set of quality improving intervention...

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Bibliographic Details
Published in:Netherlands heart journal 2021-04, Vol.29 (4), p.193-200
Main Authors: van Steenbergen, G. J., van Veghel, D., Schulz, D. N., Soliman-Hamad, M., Tonino, P. A., Houterman, S., Dekker, L.
Format: Article
Language:English
Subjects:
Cardiology
Chi-square test
Committees
Consortia
Geriatrics
Health care
Heart
Medical Education
Medicine
Medicine & Public Health
Mortality
Original
Original Article
Patients
Quality improvement
Regression analysis
Standard deviation
Stroke
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Summary:Objective The aim of this study is to assess the effects on procedural, 30-day, and 1‑year all-cause mortality by a newly introduced quality improvement strategy in patients after transcatheter aortic valve replacement (TAVR). Methods In October 2015, a coherent set of quality improving interventions with respect to patient geriatric screening, general diagnostic examination and safety of the procedure was implemented at a single centre in the Netherlands. Patients undergoing TAVR in 2013–2018 were included for retrospective analysis. Mortality was assessed in the pre-quality improvement strategy cohort (January 2013 to October 2015; cohort A) and in the post-quality improvement strategy cohort (November 2015 to December 2018; cohort B). Logistic regression analysis was used to estimate the influence of patient and procedural characteristics on the results of the quality improvement strategy in terms of procedural, 30-day, and 1‑year all-cause mortality. Results In total, 806 patients were analysed with 274 patients in cohort A and 532 patients in cohort B. After introduction of the quality improvement strategy, procedural (4.4% to 1.3%, p  
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-020-01526-7