Rates, predictors, and causes of readmission after transcatheter aortic valve replacement in patients with chronic kidney disease  

作　　者：Taha Teaima Gianfranco Bittar Carlini Rohan A Gajjar Imran Aziz Sami J Shoura Abdul-Rahim Shilbayeh Naim Battikh Tareq Alyousef 

机构地区：[1]Division of Cardiology,Department of Medicine,John H.Stroger,Jr.Hospital of Cook County,Chicago,IL 60612,United States

出　　处：《World Journal of Cardiology》2024年第7期402-411,共10页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Transcatheter aortic valve replacement(TAVR)is a revolutionary procedure for severe aortic stenosis.The coexistence of chronic kidney disease(CKD)and TAVR introduces a challenge that significantly impacts patient outcomes.AIM To define readmission rates,predictors,and causes after TAVR procedure in CKD stage 1-4 patients.METHODS We used the national readmission database 2018 and 2020 to look into readmission rates,causes and predictors after TAVR procedure in patients with CKD stage 1-4.RESULTS Out of 24758 who underwent TAVR and had CKD,7892(32.4%)patients were readmitted within 90 days,and had higher adjusted odds of being females(adjusted odds ratio:1.17,95%CI:1.02-1.31,P=0.02)with longer length of hospital stay>6 days,and more comorbidities including but not limited to diabetes mellitus,anemia,and congestive heart failure(CHF).CONCLUSION Most common causes of readmission included CHF(18.0%),sepsis,and complete atrioventricular block.Controlling readmission predictors with very close followup is warranted to prevent such high rate of readmission.

关 键 词：Chronic kidney disease Transcatheter aortic valve replacement READMISSION PREDICTORS Rates 

分 类 号：R692[医药卫生—泌尿科学]