The Relation between Volume and Outcome of Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis
Joint Authors
He, Jialing
Zhang, Zhen
Wang, Han
Cai, Lin
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-20
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) are standard procedures for dealing with severe aortic stenosis patients.
Researchers have not carried out a systematic review of the volume-outcome relationship in TAVR and SAVR.
Our study is intended to address this problem.
We systemically searched databases through MEDLINE, EMBASE, PUBMED, and the Cochrane Library up to September 2019.
Two reviewers independently screened for the studies and evaluated bias.
We used short-term mortality (in-hospital or 30-day mortality) as an outcome.
A meta-analysis of TAVR with 115,596 patients ranging from 2005 to 2016 showed a result significantly in favor of high-volume hospitals (OR 0.43 (CI 0.36-0.51)).
The subgroup of population period, region, data type, and cut-off value did not show any difference.
A meta-analysis of SAVR comprising 418,384 patients ranging from 1994 to 2011 revealed that the OR of short-term mortality for a high-volume hospital compared with that of a low-volume hospital was 0.73 (CI 0.71, 0.74).
No difference was observed in subgroups based on population period and cut-off.
In conclusion, we found that short-term mortality was lower in high-volume hospitals for both TAVR and SAVR.
American Psychological Association (APA)
He, Jialing& Zhang, Zhen& Wang, Han& Cai, Lin. 2020. The Relation between Volume and Outcome of Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis. Cardiovascular Therapeutics،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1138584
Modern Language Association (MLA)
He, Jialing…[et al.]. The Relation between Volume and Outcome of Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis. Cardiovascular Therapeutics No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1138584
American Medical Association (AMA)
He, Jialing& Zhang, Zhen& Wang, Han& Cai, Lin. The Relation between Volume and Outcome of Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis. Cardiovascular Therapeutics. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1138584
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138584