Monday, February 10, 2025

Weekend TAVR Admissions Carry Higher Mortality Risks, Study Finds

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Patients undergoing transcatheter aortic valve replacement (TAVR) during weekends experience significantly higher in-hospital mortality rates and increased complications compared to those admitted on weekdays, according to a recent nationwide study.

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Nationwide Study Reveals Increased Risks

Analyzing data from the National Inpatient Sample Database, researchers examined 82,094 TAVR admissions between 2013 and 2021. The study categorized patients based on admission day, comparing weekend admissions to those on weekdays. Through meticulous propensity score matching and multivariate regression models, the research highlighted stark differences in patient outcomes associated with admission timing.

Elective Weekend Admissions at Highest Risk

The findings indicate that weekend admissions carry a 45% higher likelihood of in-hospital mortality. Notably, elective procedures performed on weekends present a 3.27-fold increase in death risk compared to weekday admissions. Additionally, complications such as cardiogenic shock, acute kidney injury, and ischemic strokes were more prevalent among weekend patients.

– Weekend admissions lead to higher rates of cardiogenic shock and acute kidney injury.
– Elective TAVR procedures on weekends are associated with a 3.27 times greater risk of mortality.
– Increased resource utilization and complications burden weekend hospital operations.

These insights underscore the urgent need for hospitals to evaluate staffing and resource allocation during weekends to mitigate the elevated risks faced by TAVR patients.

Hospitals may consider implementing specialized weekend teams or enhancing support systems to ensure that patients admitted during these times receive the same level of care as weekday admissions. By addressing the disparities highlighted in this study, healthcare providers can improve patient outcomes and reduce the likelihood of weekend-related complications in TAVR procedures.

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