Non-contemporaneous controlled study shows enhanced recovery and improved quality of life in TAVR patients with an information platform, suggesting better care coordination.
Abstract Objective To evaluate, using a digital health–enabled approach, whether a multidisciplinary enhanced recovery team improves peri-hospital and post-discharge recovery among patients undergoing transcatheter aortic valve implantation (TAVI). Methods We conducted a non-contemporaneous controlled (before–after) study. Patients who underwent TAVI between 2023 and August 2024 and received routine care formed the control group. From September 2024 onward, patients undergoing TAVI received routine care augmented by a multidisciplinary enhanced recovery after surgery team (ERAS-MDT) delivered via an information platform, spanning inpatient care through home-based follow-up (intervention group). Outcomes included ERAS knowledge, early frailty, activity/functional capacity, length of stay (LOS), and longer-term quality of life assessed by the 12-Item Short-Form Health Survey (SF-12), 6-minute walk test (6MWT), and echocardiographic left ventricular ejection fraction (LVEF). Group differences were compared using appropriate parametric or non-parametric tests with two-sided significance set at P < 0.05. Results Baseline characteristics (age, sex, education, and comorbid conditions) did not differ significantly between groups. Relative to controls, the intervention group demonstrated higher ERAS knowledge scores [26.50 (23.00–29.00) vs 34.00 (32.00–35.00), P < 0.01], a lower prevalence of early frailty [34 (44.74%) vs 18 (23.07%), P < 0.01], better activity/functional capacity (57.24 ± 18.68 vs 65.20 ± 18.87, P < 0.01), and shorter LOS [20.00 (15.00–24.25) vs 14.00 (11.00–17.00) days, P < 0.01]. Longer-term outcomes also favored the intervention group: SF-12 summary scores [93.00 (90.00–98.25) vs 98.00 (93.70–10.00), P < 0.01], 6MWT distance [320.00 (224.00–351.00) vs 338.00 (306.75–360.00) m, P < 0.01], and LVEF [65.00 (60.00–68.00) vs 69.50 (66.00–70.00) %, P < 0.01] indicated greater improvement compared with controls. Conclusions Embedding a digital information platform within an ERAS-MDT pathway for TAVI aligns with patients’ needs for continuous, end-to-end recovery support and is associated with superior knowledge acquisition, reduced early frailty, enhanced functional status, shorter hospitalization, and improved longer-term quality of life.
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Lin et al. (2025) studied this question.
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