Table 2.
Procedural times, staff utilization, patient in-hospital length of stay and discharge behaviour of TAVI and AVR patients aged ≥ 75 years
| TF-TAVI (60) | TA-TAVI (23) | AVR (27) | |
|---|---|---|---|
| Procedural resource utilization | |||
| Time cathlab/OR (min.) | 122.3 ± 40.5 (118.5) | 142.3 ± 96.9 (109) | 217.7 ± 48.8 (223) |
| Staff | |||
| Physician | 3.58 ± 0.59 (4) | 3.17 ± 0.72 (3) | 2.67 ± 0.62 (3) |
| Nurse | 2.55 ± 0.59 (3) | 2.91 ± 0.29 (3) | 2.04 ± 0.19 (2) |
| Time anesthesia (min.) | 238.3 ± 55.4 (245) | 247.5 ± 80.4 (220) | 327.9 ± 57.6 (325) |
| Staff | |||
| Physician | 1.0 ± 0.0 (1) | 1.96 ± 0.21 (2) | 1.93 ± 0.27 (2) |
| Nurse | 1.02 ± 0.34 (1) | 0.32 ± 0.02 (0.33) | 0.33 ± 0.15 (0.33) |
| Perfusionistsa | 0 (0) | 0 (0) | 1.0 ± 0.0 (1) |
| Post-procedural resource utilization | |||
| Time spent in ICU (hours) | 105.0 ± 198.6 (62.7) | 105.4 ± 100.4 (66.1) | 89.0 ± 131.0 (47.2) |
| Time on ventilation (hours) | 35.8 ± 110.7 (8.6) | 35.7 ± 64.6 (9.2) | 42.6 ± 115.8 (12.8) |
| Length of stay (days) | |||
| Procedure to discharge | 13.1 ± 11.3 (10) | 13.0 ± 6.6 (10) | 10.6 ± 4.6 (10) |
| Post-discharge LoS | 0.3 ± 1.4 (0) | 8.2 ± 13.6 (0) | 5.1 ± 7.0 (4) |
| Total hospitalisation since procedure | 13.4 ± 11.4 (10) | 21.2 ± 15.4 (17) | 15.7 ± 10.5 (14) |
| Discharge destination | |||
| Home | 46.7 % | 13 % | 0 % |
| Rehabilitation | 40 % | 26.1 % | 44.4 % |
| Hospital | 5 % | 43.5 % | 51.9 % |
| Nursing Home | 3.3 % | 0 % | 0 % |
| In-hospital death | 5 % | 17.4 % | 3.7 % |
Data are presented as mean ± standard deviation and median in parentheses
aIn our centers an extracorporeal life-support system and perfusionists are on stand-by for all TAVI procedures