{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T03:13:48Z","timestamp":1786331628122,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T00:00:00Z","timestamp":1546819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients undergoing transcatheter aortic valve replacement (TAVR) are likely to be discharged to a location other than home. We aimed to assess the association between discharge disposition after TAVR and patient survival at 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients admitted from home and survived till discharge after TAVR were divided into two groups based on discharge disposition (home discharge vs. non\u2010home discharge). Pre\u2010operative factors predicting the odds of not being discharged home were identified by using multivariable logistic regression analysis. Study patients were matched one\u2010to\u2010one via a propensity scoring method. Differences in procedural outcomes were compared. Survival of both unmatched and matched pairs was evaluated by using the Kaplan\u2010Meier method with the Kleine\u2010Moesch\u2010Berger stratified log\u2010rank test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 1,160 TAVR patients, 851 were admitted from home and survived till discharge. The incidence non\u2010home discharge was 19% (n\u2009=\u2009159). Factors that were significantly associated with non\u2010home discharge were older age, non\u2010transfemoral approach, female sex, frailty status, history of chronic lung disease, pacemaker placement and insulin\u2010dependent diabetes mellitus. One\u2010to\u2010one propensity score matching resulted in 141 patient pairs with similar age, operative risk, frailty and functional status. At 1\u2010year follow\u2010up, all\u2010cause mortality rates were significantly higher in the non\u2010home group than their home counterparts (18% vs. 3%, <jats:italic>P<\/jats:italic>\u2009=\u20090.006; stratified log rank test: <jats:italic>P<\/jats:italic>\u2009=\u20090.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A considerable number of TAVR patients are discharged to a location other than home after the procedure. Not being discharged home after TAVR is associated with a high mortality risk at 1 year.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28069","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T03:50:50Z","timestamp":1547005850000},"page":"448-455","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Discharge disposition of older patients undergoing trans\u2010catheter aortic valve replacement and its impact on survival"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8890-3332","authenticated-orcid":false,"given":"Alexis K.","family":"Okoh","sequence":"first","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Haik","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaiman","family":"Singh","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komalpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setri","family":"Fugar","sequence":"additional","affiliation":[{"name":"Division of Cardiology Rush University Medical Center  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Cohen","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Haik","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunguang","family":"Chen","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Russo","sequence":"additional","affiliation":[{"name":"Departments of Cardiothoracic Surgery and Cardiology RWJ Barnabas Health\u2010Newark Beth Israel Medical Center  Newark New Jersey"},{"name":"Department of Surgery Rutgers University Medical School  Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.02.537"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199501000-00002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.12.060"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.5302"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.09.050"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.761"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.04.073"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.04.041"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2016.06.028"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs533"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.05.042"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181c9fbca"},{"key":"e_1_2_6_15_1","unstructured":"KingG NielsenR. Forthcoming. \u201cWhy Propensity Scores Should Not Be Used for Matching.\u201d Political Analysis.https:\/\/gking.harvard.edu\/publications. 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