The impact of post-procedural complications on reimbursement, length of stay and mechanical ventilation among patients undergoing transcatheter aortic valve implantation in Germany

K. Kaier, H. Reinecke, Huseyin Naci, L. Frankenstein, M. Bode, W. Vach, P. Hehn, A. Zirlik, M. Zehender and J. Reinöhl

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: BACKGROUND: The impact of various post-procedural complications after transcatheter aortic valve implantation (TAVI) on resource use and their consequences in the German reimbursement system has still not been properly quantified. METHODS: In a retrospective observational study, we use data from the German DRG statistic on patient characteristics and in-hospital outcomes of all isolated TAVI procedures in 2013 (N = 9147). The impact of post-procedural complications on reimbursement, length of stay and mechanical ventilation was analyzed using both unadjusted and risk-adjusted linear and logistic regression analyses. RESULTS: A total of 235 (2.57%) strokes, 583 (6.37%) bleeding events, 474 (5.18%) cases of acute kidney injury and 1428 (15.61%) pacemaker implantations were documented. The predicted reimbursement of an uncomplicated TAVI procedure was €33,272, and bleeding events were associated with highest additional reimbursement (€12,839, p 48 h: OR 6.93, p 48 h: OR 5.73, p

Keywords: post-procedural complications; TAVR; transcatheter aortic valve replacement; excess costs; reimbursement; resource use (search for similar items in EconPapers)
JEL-codes: C01 I10 (search for similar items in EconPapers)
Date: 2017-02-22
New Economics Papers: this item is included in nep-hea
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Citations: View citations in EconPapers (1)

Published in European Journal of Health Economics, 22, February, 2017, 19(2), pp. 223-228. ISSN: 1618-7598

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