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

Klaus Kaier (), Holger Reinecke, Huseyin Naci, Lutz Frankenstein, Martin Bode, Werner Vach, Philip Hehn, Andreas Zirlik, Manfred Zehender and Jochen Reinöhl
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Klaus Kaier: University of Freiburg
Holger Reinecke: University Hospital Muenster
Huseyin Naci: London School of Economics and Political Science
Lutz Frankenstein: University of Heidelberg
Martin Bode: Heart Center Freiburg University
Werner Vach: University of Freiburg
Philip Hehn: University of Freiburg
Andreas Zirlik: Heart Center Freiburg University
Manfred Zehender: Heart Center Freiburg University
Jochen Reinöhl: Heart Center Freiburg University

The European Journal of Health Economics, 2018, vol. 19, issue 2, No 6, 223-228

Abstract: 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: 2018
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DOI: 10.1007/s10198-017-0877-7

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