{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:40:36Z","timestamp":1788183636162,"version":"build-2803163510"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,5,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Data on hospital variation in 30\u2010day readmission rates after transcatheter aortic valve replacement (TAVR) are limited. Further, whether such variation is explained by differences in hospital characteristics and hospital practice patterns remains unknown.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We used the 2017 Nationwide Readmissions Database to identify hospitals that performed at least 5 TAVRs. Hierarchical logistic regression models were used to examine between\u2010hospital variation in 30\u2010day all\u2010cause risk\u2010standardized readmission rate (RSRR) after TAVR and to explore reasons underlying hospital variation in 30\u2010day RSRR. The study included 27\u00a0091 index TAVRs performed across 325 hospitals. The median (interquartile range) hospital\u2010level 30\u2010day RSRR was 11.9% (11.1%\u201312.8%) ranging from 8.8% to 16.5%. After adjusting for differences in patient characteristics, there was significant between\u2010hospital variation in 30\u2010day RSRR (hospital odds ratio, 1.59; 95% CI, 1.39\u20131.77). Differences in length of stay and discharge disposition accounted for 15% of the between\u2010hospital variance in RSRRs. There was no significant association between hospital characteristics and 30\u2010day readmission rates after TAVR. There was statistically significant but weak correlation between 30\u2010day RSRR after TAVR and that after surgical aortic valve replacement, percutaneous coronary intervention, acute myocardial infarction, heart failure, and pneumonia (\n              <jats:italic>r<\/jats:italic>\n              =0.132\u20130.298;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001 for all). Causes of 30\u2010day readmission varied across hospitals, with noncardiac readmissions being more common at the bottom 5% hospitals (ie, those with the highest RSRRs).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">There is significant variation in 30\u2010day RSRR after TAVR across hospitals that is not entirely explained by differences in patient or hospital characteristics as well as hospital\u2010wide practice patterns. Noncardiac readmissions are more common in hospitals with the highest RSRRs.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.021350","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T19:34:41Z","timestamp":1624304081000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Hospital Variation in 30\u2010Day Readmissions Following Transcatheter Aortic Valve Replacement"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-3667","authenticated-orcid":false,"given":"Dhaval","family":"Kolte","sequence":"first","affiliation":[{"name":"Cardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Saint Luke\u2019s Mid America Heart Institute Kansas City MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0871-5970","authenticated-orcid":false,"given":"Jason H.","family":"Wasfy","sequence":"additional","affiliation":[{"name":"Cardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9734-5122","authenticated-orcid":false,"given":"Anupam B.","family":"Jena","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School and Department of Medicine Massachusetts General Hospital Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8013-8733","authenticated-orcid":false,"given":"Sammy","family":"Elmariah","sequence":"additional","affiliation":[{"name":"Cardiology Division Department of Medicine Massachusetts General HospitalHarvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","unstructured":"Hospital Readmissions Reduction Program (HRRP) . 2020."},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004472"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.10.008"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.10.021"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.007517"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.07.056"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.002756"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.11.013"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.119.008227"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1062860612464999"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000530"},{"key":"e_1_3_1_14_2","unstructured":"Healthcare Cost and Utilization Project (HCUP) . 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Trends in United States TAVR practice. Cardiac Interventions Today. 2018;12:46\u201350.","journal-title":"Cardiac Interventions Today"},{"key":"e_1_3_1_32_2","article-title":"Surgeries in outpatient hospital\u2010owned facilities 2012","author":"Wier LM","year":"2015","unstructured":"Wier LM, Steiner CA, Owens PL. Surgeries in outpatient hospital\u2010owned facilities 2012. HCUP Statistical Briefs \u2010 Procedures and Treatments Overview. 2015. https:\/\/www.hcup\u2010us.ahrq.gov\/reports\/statbriefs\/sb188\u2010Surgeries\u2010Hospital\u2010Outpatient\u2010Facilities\u20102012.jsp","journal-title":"HCUP Statistical Briefs \u2010 Procedures and Treatments Overview"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.120.021350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:04:12Z","timestamp":1715598252000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.120.021350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,18]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,5,18]]}},"alternative-id":["10.1161\/JAHA.120.021350"],"URL":"https:\/\/doi.org\/10.1161\/jaha.120.021350","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,18]]},"assertion":[{"value":"2021-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e021350"}}