Debunking the July Effect in Transcatheter Interventions in Structural Heart Disease: Truth or Myth?

ABSTRACT:

Background

The "July effect", the perception of worse outcomes in the first month of training, has been previously demonstrated in critical care medicine and general surgery. However, the July effect in the context of structural heart interventions (i.e., transcatheter aortic valve replacement [TAVR] and MitraClip) remains unknown.

Methods

All adult patients undergoing TAVR or MitraClip in the 2012-2016 National Inpatient Sample were included. Outcomes were compared by procedure month and academic year quartiles (i.e., between the first academic year quartile [Q1] vs. the fourth quartile [Q4]). Outcomes between teaching and nonteaching hospitals were compared using risk-adjusted logistic difference-in-difference regression.

Results

During the study period, 94,170 TAVR

SUBMITTER: Hirji SA 

PROVIDER: S-EPMC10236779 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature