Utilization of mechanical prostheses and outcomes of surgical aortic valve replacement at safety net hospitals.

ABSTRACT:

Background

Safety-net hospitals care for a high proportion of uninsured/underinsured patients who may lack access to longitudinal care. The present study characterized the use of mechanical valves and clinical outcomes of surgical aortic valve replacement at safety net hospitals.

Methods

All adults undergoing surgical aortic valve replacement were abstracted from the 2016-2018 Nationwide Readmissions Database. Hospitals were divided into quartiles based on volume of all Medicaid and uninsured admissions, with the highest quartile defined as safety net hospitals. Multivariable regression was used to determine the association between safety net hospitals and several outcomes including mechanical valve use, perioperative complications, index hospitalization costs, 90-day readmi

SUBMITTER: Kim ST 

PROVIDER: S-EPMC9127193 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature