Table 5.
Low volume OR (95% CI)a | Medium Volume OR (95% CI)a | High Volume OR (95% CI) a | P Valueb | |
---|---|---|---|---|
Discharge dispositionc | ||||
Routine | Ref | Ref | Ref | ··· |
Transfer, short term hospital | 1.85 (1.19–2.88) | 2.23 (1.46–3.40) | 2.60 (1.51–4.47) | 0.002 |
Transfer, skilled nursing facility | 0.95 (0.87–1.03) | 0.89 (0.82–0.97) | 0.91 (0.81–1.03) | 0.10 |
Died | 0.69 (0.54–0.88) | 0.72 (0.57–0.91) | 0.43 (0.29–0.63) | <0.0001 |
30‐d readmissiond | 0.94 (0.86–1.04) | 0.96 (0.87–1.05) | 0.98 (0.87–1.12) | 0.64 |
CIE (95% CI)a | CIE (95% CI)a | CIE (95% CI)a | P Valueb | |
---|---|---|---|---|
Length of stay, d | −0.02 (−0.22 to 0.19) | −0.19 (−0.38 to 0.00) | 0.01 (−0.25 to 0.28) | 0.14 |
CIE indicates change in estimate; OR, odds ratio; SAVR, surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement.
Wald test assessing whether effect of undergoing surgery at TAVR center on outcomes differs across TAVR volume, degrees of freedom=3.
Adjusted for year of surgery, age, sex, primary insurance, median household income in the patient's zip code, Charlson comorbidity index, hospital teaching status, and hospital size; age, and Charlson comorbidity index were modeled as a restricted quadratic splines.
Compared with routine discharge.
Only assessed among patients discharged alive after SAVR.