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The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes
The transcatheter aortic valve implantation (TAVI) treatment pathway is complex, leading to procedure-related delays. Dedicated TAVI coordinators can improve pathway efficiency. COORDINATE was a pilot observational prospective registry at three German centers that enrolled consecutive elective patie...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910867/ https://www.ncbi.nlm.nih.gov/pubmed/35268296 http://dx.doi.org/10.3390/jcm11051205 |
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author | Bohmann, Katja Burgdorf, Christof Zeus, Tobias Joner, Michael Alvarez, Héctor Berning, Kira Lisanne Schikowski, Maren Kasel, Albert Markus van Mark, Gesine Deutsch, Cornelia Kurucova, Jana Thoenes, Martin Frank, Derk Wundram, Steffen Bramlage, Peter Miller, Barbara Veulemans, Verena |
author_facet | Bohmann, Katja Burgdorf, Christof Zeus, Tobias Joner, Michael Alvarez, Héctor Berning, Kira Lisanne Schikowski, Maren Kasel, Albert Markus van Mark, Gesine Deutsch, Cornelia Kurucova, Jana Thoenes, Martin Frank, Derk Wundram, Steffen Bramlage, Peter Miller, Barbara Veulemans, Verena |
author_sort | Bohmann, Katja |
collection | PubMed |
description | The transcatheter aortic valve implantation (TAVI) treatment pathway is complex, leading to procedure-related delays. Dedicated TAVI coordinators can improve pathway efficiency. COORDINATE was a pilot observational prospective registry at three German centers that enrolled consecutive elective patients with severe aortic stenosis undergoing TAVI to investigate the impact a TAVI coordinator program. Pathway parameters and clinical outcomes were assessed before (control group) and after TAVI coordinator program implementation (intervention phase). The number of repeated diagnostics remained unchanged after implementation. Patients with separate hospitalizations for screening and TAVI had long delays, which increased after implementation (65 days pre- vs. 103 days post-implementation); hospitalizations combining these were more efficient. The mean time between TAVI and hospital discharge remained constant. Nurse (p = 0.001) and medical technician (p = 0.008) working hours decreased. Patient satisfaction increased, and more consistent/intensive contact between patients and staff was reported. TAVI coordinators provided more post-TAVI support, including discharge management. No adverse effects on post-procedure or 30-day outcomes were seen. This pilot suggests that TAVI coordinator programs may improve aspects of the TAVI pathway, including post-TAVI care and patient satisfaction, without compromising safety. These findings will be further investigated in the BENCHMARK registry. |
format | Online Article Text |
id | pubmed-8910867 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89108672022-03-11 The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes Bohmann, Katja Burgdorf, Christof Zeus, Tobias Joner, Michael Alvarez, Héctor Berning, Kira Lisanne Schikowski, Maren Kasel, Albert Markus van Mark, Gesine Deutsch, Cornelia Kurucova, Jana Thoenes, Martin Frank, Derk Wundram, Steffen Bramlage, Peter Miller, Barbara Veulemans, Verena J Clin Med Article The transcatheter aortic valve implantation (TAVI) treatment pathway is complex, leading to procedure-related delays. Dedicated TAVI coordinators can improve pathway efficiency. COORDINATE was a pilot observational prospective registry at three German centers that enrolled consecutive elective patients with severe aortic stenosis undergoing TAVI to investigate the impact a TAVI coordinator program. Pathway parameters and clinical outcomes were assessed before (control group) and after TAVI coordinator program implementation (intervention phase). The number of repeated diagnostics remained unchanged after implementation. Patients with separate hospitalizations for screening and TAVI had long delays, which increased after implementation (65 days pre- vs. 103 days post-implementation); hospitalizations combining these were more efficient. The mean time between TAVI and hospital discharge remained constant. Nurse (p = 0.001) and medical technician (p = 0.008) working hours decreased. Patient satisfaction increased, and more consistent/intensive contact between patients and staff was reported. TAVI coordinators provided more post-TAVI support, including discharge management. No adverse effects on post-procedure or 30-day outcomes were seen. This pilot suggests that TAVI coordinator programs may improve aspects of the TAVI pathway, including post-TAVI care and patient satisfaction, without compromising safety. These findings will be further investigated in the BENCHMARK registry. MDPI 2022-02-23 /pmc/articles/PMC8910867/ /pubmed/35268296 http://dx.doi.org/10.3390/jcm11051205 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bohmann, Katja Burgdorf, Christof Zeus, Tobias Joner, Michael Alvarez, Héctor Berning, Kira Lisanne Schikowski, Maren Kasel, Albert Markus van Mark, Gesine Deutsch, Cornelia Kurucova, Jana Thoenes, Martin Frank, Derk Wundram, Steffen Bramlage, Peter Miller, Barbara Veulemans, Verena The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title | The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title_full | The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title_fullStr | The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title_full_unstemmed | The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title_short | The COORDINATE Pilot Study: Impact of a Transcatheter Aortic Valve Coordinator Program on Hospital and Patient Outcomes |
title_sort | coordinate pilot study: impact of a transcatheter aortic valve coordinator program on hospital and patient outcomes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910867/ https://www.ncbi.nlm.nih.gov/pubmed/35268296 http://dx.doi.org/10.3390/jcm11051205 |
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