{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T06:10:06Z","timestamp":1788934206141,"version":"build-2803163510"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,8,16]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p xml:lang=\"en\">Data on trends, predictors, and outcomes of heart failure (HF) readmissions after transcatheter aortic valve replacement (TAVR) remain limited. Moreover, the relationship between hospital TAVR discharge volume and HF readmission outcomes has not been established.<\/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              The Nationwide Readmission Database was used to identify 30\u2010day readmissions for HF after TAVR from October 1, 2015, to November 30, 2018, using\n              <jats:italic>International Classification of Diseases, Tenth Revision, Clinical Modification<\/jats:italic>\n              (\n              <jats:italic>ICD\u201010\u2010CM<\/jats:italic>\n              ) codes. A total of 167\u2009345 weighted discharges following TAVR were identified. The all\u2010cause readmission rate within 30\u2009days of discharge was 11.4% (19 016). Of all the causes of 30\u2010day rehospitalizations, HF comprised 31.4% (5962) of all causes. The 30\u2010day readmission rate for HF did not show a significant decline during the study period (\n              <jats:italic>P<\/jats:italic>\n              <jats:sub>trend<\/jats:sub>\n              =0.06); however, all\u2010cause readmission rates decreased significantly (\n              <jats:italic>P<\/jats:italic>\n              <jats:sub>trend<\/jats:sub>\n              =0.03). HF readmissions were comparable between high\u2010 and low\u2010volume TAVR centers. Charlson Comorbidity Index &gt;8, length of stay &gt;4\u2009days during the index hospitalization, chronic obstructive pulmonary disease, atrial fibrillation, chronic HF, preexisting pacemaker, complete heart block during index hospitalization, paravalvular regurgitation, chronic kidney disease, and end\u2010stage renal disease were independent predictors of 30\u2010day HF readmission after TAVR. HF readmissions were associated with higher mortality rates when compared with non\u2010HF readmissions (4.9% versus 3.3%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01). Each HF readmission within 30\u2009days was associated with an average increased cost of $13\u2009000 more than for each non\u2010HF readmission.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p xml:lang=\"en\">During the study period from 2015 to 2018, 30\u2010day HF readmissions after TAVR remained steady despite all\u2010cause readmissions decreasing significantly. All\u2010cause readmission mortality and HF readmission mortality also showed a nonsignificant downtrend. HF readmissions were comparable across low\u2010, medium\u2010, and high\u2010volume TAVR centers. HF readmission was associated with increased mortality and resource use attributed to the increased costs of care compared with non\u2010HF readmission. Further studies are needed to identify strategies to decrease the burden of HF readmissions and related mortality after TAVR.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.024890","type":"journal-article","created":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T09:17:35Z","timestamp":1659691055000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":30,"title":["Trends, Predictors, and Outcomes of 30\u2010Day Readmission With Heart Failure After Transcatheter Aortic Valve Replacement: Insights From the US Nationwide Readmission Database"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2754-9397","authenticated-orcid":false,"given":"Salman","family":"Zahid","sequence":"first","affiliation":[{"name":"Department of Medicine Rochester General Hospital Rochester NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mian Tanveer Ud","family":"Din","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Allegheny Health Network Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8473-8069","authenticated-orcid":false,"given":"Muhammad Zia","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University Heart &amp; Vascular Institute Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1287-6440","authenticated-orcid":false,"given":"Devesh","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Medicine Rochester General Hospital Rochester NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4850-0309","authenticated-orcid":false,"given":"Waqas","family":"Ullah","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Jefferson University Hospitals Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Sanchez\u2010Nadales","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Cleveland Clinic Florida Weston FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Elkhapery","sequence":"additional","affiliation":[{"name":"Department of Medicine Rochester General Hospital Rochester NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4452-6317","authenticated-orcid":false,"given":"Muhammad Usman","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University Heart &amp; Vascular Institute Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2952-7837","authenticated-orcid":false,"given":"Andrew M.","family":"Goldsweig","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Nebraska Medical Center Omaha NE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Singla","sequence":"additional","affiliation":[{"name":"Kaweah Health Medical Center Visalia CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3192-8093","authenticated-orcid":false,"given":"Greg","family":"Fonarrow","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of California Los Angeles Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7872-3757","authenticated-orcid":false,"given":"Sudarshan","family":"Balla","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University Heart &amp; Vascular Institute Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-3928(03)00062-3"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1514616"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.11.031"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2019.05.032"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004472"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.09.010"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.120.008959"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1901109"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.1630"},{"key":"e_1_3_1_12_2","unstructured":"Overview of the Nationwide Readmisison Database (NRD) . 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