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

Author

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

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

Suggested Citation

  • Kaier, K. & Reinecke, H. & Naci, Huseyin & Frankenstein, L. & Bode, M. & Vach, W. & Hehn, P. & Zirlik, A. & Zehender, M. & Reinöhl, J., 2017. "The impact of post-procedural complications on reimbursement, length of stay and mechanical ventilation among patients undergoing transcatheter aortic valve implantation in Germany," LSE Research Online Documents on Economics 69807, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:69807
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    Cited by:

    1. Klaus Kaier & Constantin Mühlen & Andreas Zirlik & Wolfgang Bothe & Philip Hehn & Manfred Zehender & Christoph Bode & Peter Stachon, 2019. "Estimating the additional costs per life saved due to transcatheter aortic valve replacement: a secondary data analysis of electronic health records in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 625-632, June.

    More about this item

    Keywords

    post-procedural complications; TAVR; transcatheter aortic valve replacement; excess costs; reimbursement; resource use;
    All these keywords.

    JEL classification:

    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics
    • I10 - Health, Education, and Welfare - - Health - - - General

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