Key result
Establishing a local TAVI clinic is linked to a ~65% reduction in referral-to-TAVI time.
Why the study?
Delays to TAVI carry significant morbidity and mortality, with patients referred from non-tertiary centres experiencing significantly longer waiting times.
Does the establishment of a local TAVI clinic reduce time from referral to TAVI in patients referred from non-tertiary centres?
Observational
No
Does the establishment of a local TAVI clinic reduce time from referral to TAVI in patients referred from non-tertiary centres?
Establishing a local TAVI clinic at a non-tertiary center significantly reduces referral-to-treatment time and aortic stenosis-related hospitalizations.
Answers are grounded in this paper and cite their sources.
Local TAVI clinic establishment was associated with shorter referral-to-treatment times; hypothesis-generating for dedicated pathways in non-tertiary centers and requires prospective confirmation.
Introduction: Delays to transcatheter aortic valve implantation (TAVI) carry significant morbidity and mortality, with patients referred from non-tertiary centres experiencing significantly longer waiting times. Methods: A local TAVI clinic was established in January 2024. Data were collected from 2021 to 2024. The primary outcome was time from referral to TAVI. Comparisons were made between our centre, the tertiary centre, another referring centre with a dedicated TAVI pathway, and centres without dedicated clinics. Secondary outcomes included aortic stenosis-related hospitalisation. Results: Median time to TAVI significantly decreased following clinic establishment: 218 days pre-clinic vs 77 days post-clinic, p < 0.0001. Time to TAVI was comparable to tertiary and other dedicated TAVI-pathway centres and shorter than referral centres without dedicated clinics. Aortic tenosis-related hospitalisations were significantly lower: nine (12.5%) pre-clinic vs five (4.0%) post-clinic, p = 0.025. Conclusion: The introduction of a local TAVI clinic in our centre was associated with reduced time to TAVI and fewer aortic stenosis-related hospitalisations.
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Chotalia et al. (2026) conducted an observational in Aortic stenosis requiring TAVI. Local TAVI clinic vs. Pre-clinic standard care was evaluated on Time from referral to TAVI (p=<0.0001). Establishing a local TAVI clinic reduced the median time from referral to TAVI compared to pre-clinic care.
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