November 29, 2019Catheterization and Cardiovascular Interventions
Post‐procedure protocol to facilitate next‐day discharge: Results of the multidisciplinary, multimodality but minimalist TAVR study
Key result
Implementation of the 3M TAVR standardized protocol resulted in 99.0% of patients being discharged home, with 97.8% avoiding urinary catheterization and 13.5% requiring 30-day ED visits.
Why the study?
Evidence is lacking to standardize post-procedure care after transcatheter aortic valve replacement (TAVR).
Does a standardized post-procedure protocol facilitate next-day discharge and optimize healthcare utilization in patients undergoing TAVR?
Comparison
Standardized post-procedure protocol for monitoring, early mobilization, reconditioning, and criteria-driven discharge
Design
Multicenter prospective sequential case series
Follow-up
30-day
Authors
Discussion
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Member takes
Implication
May support next-day TAVR discharge in select patients; hypothesis-generating and requires prospective validation before broader adoption.
Study Design
Type
Observational (n=411)
Multicenter
Yes
Structured PICO
Does a standardized post-procedure protocol facilitate next-day discharge and optimize healthcare utilization in patients undergoing TAVR?
P
Population
411 participants undergoing TAVR managed with a standardized post-procedure protocol across 13 North American centers, with 30-day follow-up.
E
Exposure
Standardized post-procedure protocol to guide monitoring, early mobilization, reconditioning, communication, and criteria-driven discharge
O
Outcome
Avoidance of invasive lines and delirium, in-hospital bed utilization, patient disposition at the time of discharge, and 30-day use of nonelective medical services
A standardized accelerated reconditioning protocol after TAVR safely facilitates next-day discharge home while minimizing the use of invasive lines.
Cite This Study
Lauck et al. (2019) conducted an observational in Transcatheter aortic valve replacement (TAVR) (n=411). 3M TAVR standardized accelerated reconditioning protocol was evaluated on Avoidance of invasive lines and delirium, in-hospital bed utilization, patient disposition at discharge, and 30-day use of nonelective medical services. Implementation of the 3M TAVR standardized protocol resulted in 99.0% of patients being discharged home, with 97.8% avoiding urinary catheterization and 13.5% requiring 30-day ED visits.