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May 07, 2021 Despite documented declines in 30-day readmission rates after TAVI, there is considerable variation across centers in the United States that is not explained by hospital characteristics alone, a new study suggests. In fact, the likelihood of being readmitted at 30 days was roughly 60% higher when patients were treated at a hospital that was 1 standard deviation (SD) above the national average for readmission rates versus 1 SD below the national average, report investigators. Lead author Dhaval Kolte, MD, PhD (Massachusetts General Hospital, Boston), explained that 85% of the variation they saw could not be attributed to differences in patient characteristics, length of stay, and discharge disposition. “What we concluded was that the unexplained variation in the hospital readmission rates was not explained internally by the hospital-level practices, so there likely are other unmeasured variables that could include patient-level factors such as social determinants

United statesDhaval kolteAmerican college of cardiologyJournal of the american heart associationMassachusetts general hospitalAmerican heart associationAmerican collegeNationwide readmissions databaseஒன்றுபட்டது மாநிலங்களில்தாவல் கோல்டேஅமெரிக்கன் கல்லூரி ஆஃப் இருதயவியல்இதழ் ஆஃப் தி அமெரிக்கன் இதயம் சங்கம்மாசசூசெட்ஸ் ஜநரல் மருத்துவமனைஅமெரிக்கன் இதயம் சங்கம்அமெரிக்கன் கல்லூரி