Medicare, Medicaid, privately insured, and . Participating data organizations set the price of their data. Conclusions: In-hospital mortality and stroke for TAVR and SAVR in AF, AS are similar; however, the in-hospital mortality in TAVR AF is declining and associated with more favorable in-hospital outcomes. Details are provided under Availability of HCUP Databases Across States and Years. (2019) 93:74950. 2015. Whalen DHR, Elixhauser A. Please remember that individuals, not entities, are responsible for the use and security of the HCUP data, so the data purchaser remains responsible for any use or potential misuse unless and until custody is formally transferred to another individual. doi: 10.1007/s00392-018-1247-x, 25. 1. In the GALILEO trial, in patients without an established indication for anticoagulation after TAVR, oral anticoagulant rivaroxaban is detrimental rather than beneficial (22). To suffer from either IHD or stroke increases the odds of experiencing another ischemic event significantly. The performance of SAVR was similar during the study period; however, the rising trend of TAVR in AF patients was slower than that without AF (Supplementary Figure 1). Data User's Guide [PDF - 8.5 MB] Data Documentation, Codebook and Frequencies [PDF - 7 MB] Index of Variable - Revised [PDF - 382 KB] (November, 2010) Dataset [DAT - 21.5 MB] SAS Input Statements [SAS - 65 KB] R Input Statements [R - 84 KB] Page last reviewed: November 6, 2015. The National Inpatient Sample (NIS) is a large database that is maintained under the Healthcare Cost and Utilization Project (HCUP), which is both considered the largest collection of longitudinal hospital care data in the US and sponsored by the Agency for Healthcare Research and Quality (AHRQ). In May 2023, Frontiers adopted a new reporting platform to be Counter 5 compliant, in line with industry standards. 2School of Medicine, Universidad Anhauc Quertaro, Santiago de Quertaro, Mexico. (2004). Jiang X, Morgenstern LB, Cigolle CT, Claflin ES, Lisabeth LD. Descriptive and numerical statistics, imputation, and logistic regression were calculated using SPSS software version 25. In the TAVR era, AF was also found to be related to an increased risk for adverse outcomes, including increased mortality and stroke (9, 10). Information related to this feature can be found in the Purchasing FAQs. Be aware that it can be very hard to answer a question without sample data. The primary outcome was in-hospital mortality. doi: 10.15420/icr.2019.24, 27. Med., 07 December 2020, View all Similarly, patients with CHF accrued the greatest in-hospital costs (69,174 USD, P < 0.001). [1,10,11] Racial disparities in stroke are well-documented and are it known that the risk of stroke is nearly doubled for African Americans when compared to Caucasians, whom also have a higher mortality associated with stroke. doi: 10.1016/j.jcin.2016.01.037. 12. Print Questionnaires, Datasets, and Related Documentation for the National Immunization Surveys (NIS) NIS are conducted annually and used to obtain national, state, and selected local area estimates of vaccination coverage rates for U.S. children 19-35 months (NIS-Child) and for U.S. adolescents 13-17 years (NIS-Teen). [10], Although stroke mortality has been declining over the past few decades due to the introduction of modern treatments, it still remains the fifth leading cause of death in the US, accounting for an estimated 150,000 deaths/year. Institutional Review Board (IRB) permission obtained for the study. The NIS database is de-identified and contains patient and hospital demographics, and information pertaining to billing, diagnostics, and procedures. New-onset atrial fibrillation after aortic valve replacement: comparison of transfemoral, transapical, transaortic, and surgical approaches. Parikh K, Dizon J, Biviano A. Revisiting atrial fibrillation in the transcatheter aortic valve replacement era. NIS Hospital Ownership Files. What code should I use? #1 STATA user - NIS (National Inpatient Sample Database) help 26 Jan 2021, 15:18 I am trying to get get the study population with certain cancer diagnoses (ICD10 codes) admitted as one of the diagnoses out of 30-40 Dx given in NIS. AF, atrial fibrillation; AS, aortic stenosis; CKD, chronic kidney disease; CABG, coronary artery bypass grafting; ICD, international classification of diseases; NIS, national impatient sample; SAVR, surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement. Transcatheter versus surgical aortic valve replacement in low-risk patients. Categorical variables, such as proportions, and continuous variables were reported as the mean SD or median (interquartile range [IQR]) whenever appropriate. doi: 10.1002/ccd.28182, 21. Interval data were analyzed using one-way ANOVA. Compared to SAVR, TAVR increased the risk of permanent pacemaker implantation, and had a higher hospitalization cost, but TAVR was found to be favorable over SAVR in multiple in-hospital outcomes, as shown in the current study, including blood transfusion, acute kidney injury, new dialysis, cardiac complications, acquired pneumonia, sepsis, mechanical ventilation, tracheostomy, and gastrostomy. doi: 10.1016/j.jcin.2019.06.037, 17. Houchens R, Ross D, Elixhauser A. Patients hospitalized with ischemic stroke were found to have the following comorbidities: AFIB (7.5%), carotid artery stenosis (CAS) (1.1%), DM type 2 (DM2) (11.4%), congestive heart failure (CHF) (7.5%), essential HTN (21.2%), and ischemic heart disease (IHD) (2.3%). Elgendy IY, Elbadawi A, Ogunbayo GO, Olorunfemi O, Mahmoud AN, Mojadidi MK, et al. Careers, Unable to load your collection due to an error. Pineda AM, Kevin Harrison J, Kleiman NS, Reardon MJ, Conte JV, O'hair DP, et al. You must submit a "Data Re-Use Request" for review and approval by AHRQ before work may begin on the new project. www.hcup-us.ahrq.gov/tech_assist/centdist.jsp. HCUP's Nationwide and State-Specific Databases are available for purchase through the HCUP Central Distributor. The patients who underwent TAVR associated more comorbidities, including diabetes, diabetes with chronic complications, chronic lung disease, congestive heart failure, chronic renal disease, anemia, arthritis, coagulopathy, hypothyroidism, chronic liver disease, obesity, peripheral vascular disease, and pulmonary circulation disorder. J Am College Cardiol. This study evaluates the in-hospital outcomes of AF patients comparing TAVR with SAVR, as well as the impact of AF on TAVR patients compared to patients without AF in a large cohort of hospitalizations from the Nationwide Inpatient Sample (NIS). Baseline characteristics for TAVR in patients with or without AF in Unmatched and Matched Cohorts. Patients diagnosed with ischemic stroke were identified using the ICD-10 code of interest listed as the first primary diagnosis, indicating a primary diagnosis at hospital discharge. If an alternative option for submission is needed, please contact HCUP User Support at hcup@ahrq.gov. Transfer Custody of HCUP Data (PDF, 383 KB): Transfer data custodianship of HCUP databases from one person to another. (2018) 107:799806. In patients with AF, the rising trend of AVR was driven by rising TAVR performance. Copyright 2020 Wu, Li, Zheng, Tong, Liu, Cong, Lou and Zhang. Demographic data in the form of gender, age, and race were collected for analysis from the NIS database. Patients who are comorbid with congestive heart failure had a lower mortality with TAVR (Pinteraction < 0.001). Ideal for longitudinal analyses, data include clinical and nonclinical elements for each hospitalization as well as hospital characteristics [Table 1]. WHAT IS NEW? Effect of comorbidities on ischemic stroke mortality: An analysis of Telephone: (301) 427-1364, Explore Expert Research & Limited Datasets, Clinical Classifications Software Refined (CCSR), Elixhauser Comorbidity Software Refined for ICD-10-CM, Chronic Condition Indicator Refined for ICD-10-CM, Surgery Flags for Services and Procedures, Clinical Classifications Software (CCS) for ICD-9-CM, Chronic Condition Indicator (CCI) for ICD-9-CM, Elixhauser Comorbidity Software for ICD-9-CM, Utilization Flags for Revenue Center Codes and ICD-9-CM, NIS 1993-2002 Discharge-Level Supplemental Files, Supplemental Variables for Revisit Analyses, HCUP Data Use Agreement (DUA) training course. Learn about these databases by visiting the Databases page or the links below. One way to accomplish this is to use -inlist()-. 13. Cardiovasc. The Research Tools page (bottom of the page) provides information about available supplemental files that may be provided with the databases. Zafar A, Al-Khamis FA, Al-Bakr AI, Alsulaiman AA, Msmar AH. Table 4. As a library, NLM provides access to scientific literature. (2016) 374:160920. Mortality trend, Predictor, and Outcomes of TAVR for Severe Aortic Stenosis with AF. Written informed consent for participation was not required for this study in accordance with the national legislation and the institutional requirements. Further studies evaluating and classifying the relationships between risk factors of various cardiovascular diseases are needed. Moreover, we conducted robust analyses, including propensity matching and subgroup analysis, to reduce selection bias. Prognostic value of new onset atrial fibrillation after transcatheter aortic valve implantation: a FRANCE 2 registry substudy. To list all the values in a map, type the following. However, TAVR was associated with a lower rate of acute kidney injury (17.9 vs. 23.7%; OR:0.69; 95% CI: 0.630.76; p < 0.001), new dialysis (1.4 vs. 2.0%; OR:0.73; 95% CI: 0.540.98; p = 0.04), blood transfusion (16.5 vs. 33.7%; OR:0.39; 95% CI: 0.350.43; p < 0.001), cardiac complication (10.3 vs. 20.8%; OR:0.44; 95% CI: 0.390.49; p < 0.001), acquired pneumonia (1.8 vs. 3.1%; OR:0.57; 95% CI: 0.440.73; p = 0.42), sepsis (1.7 vs. 2.7%; OR:0.63; 95% CI: 0.480.82; p < 0.001), mechanical ventilation (2.3 vs. 4.2%; OR:0.53; 95% CI: 0.430.67; p < 0.001), tracheostomy (0.8 vs. 2.2%; OR:0.35; 95% CI: 0.250.51; p < 0.001), gastrostomy (0.8 vs. 1.6%; OR:0.5; 95% CI: 0.340.72; p < 0.001), shorter hospital stay [5 (IQR: 39) in TAVR vs. 8 (IQR: 612) in SAVR], and more routine discharge (40.0 vs. 20.9%; OR:2.63; 95% CI: 2.442.86; p < 0.001). This explains the higher mortality in the TAVR group than in the SAVR group before matching. Before propensity matching, patients in the TAVR group were significantly older (81.9 7.2 years of age vs. 72.1 9.2 years of age; p < 0.001) and less likely to be men (53.9% vs. 62.0%; p < 0.001) compared with patients underwent SAVR. All analyses were conducted using the weighting samples for national estimates in conjunction with the Healthcare Cost and Utilization Project regulations for using the NIS database . [3] Maintained under the AHRQ since 1988, the NIS is recognized as the largest publicly available all-payer inpatient healthcare database and has been allowing access to a surplus of data for accurate trending on associated analyses over time. Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, United States. AF, atrial fibrillation; AS, aortic stenosis; AVR, aortic valve replacement; CABG, coronary artery bypass grafting; NIS, national inpatient sample; SAVR, surgical aortic replacement; TAVR, transcatheter aortic valve replacement. Reardon MJ, Van Mieghem NM, Popma JJ, Kleiman NS, Sndergaard L, Mumtaz M, et al. Submit completed documents by email to hcup@ahrq.gov. Descriptive and numerical statistics, imputation, and logistic regression were calculated using SPSS software version 25 (IBM Corp., Armonk, New York, USA). We excluded hospitalization with concomitant mitral, tricuspid, or pulmonary valve procedures, excluded patients younger than 50 years old, excluded concomitant coronary artery bypass grafting (CABG) to identify isolated aortic valve replacement, and excluded hospitalizations with missing data for mortality outcomes or propensity matching variables. Data and Study Population. Learn more about these files by visiting the Research Tools page or the links below. Compared with older patients, those younger than 75 had a higher mortality with TAVR (Pinteraction = 0.03). This weighting scale provides a sample of discharges from all hospitals nationally within the HCUP. 4College of Osteopathic Medicine, William Carey University, Hattiesburg, Mississippi, United States. The primary study findings were as follows: (1) the number of AF patients receiving aortic valve replacement increases over the study period, and this trend is driven by the rising TAVR performance; (2) the in-hospital mortality for AF patients receiving TAVR declines during the study period, whereas that of those receiving SAVR remains unchanged; (3) the major predictor of TAVR for AF patients included age older than 75 years, comorbidity of congestive heart failure, chronic renal disease, pulmonary circulation disorder, teaching hospital admission, and Medicare/Medicaid insurance coverage; (4) compared to SAVR, although in-hospital mortality and acute stroke are similar, AF patients receiving TAVR had a lower rate of blood transfusion, acute kidney injury, new dialysis, cardiac complication, acquired pneumonia, sepsis, mechanical ventilation, tracheostomy, and gastrostomy as well as more routine discharge and shorter length of hospitalization stay; and (5) compared to TAVR without AF, cardiac transfusion, cardiac mortality, and acute stroke are similar, and the presence of AF was associated with increased incidence of blood transfusion, acute kidney injury, and dialysis. Imputation of missing data was completed using the mean of nearby values in the original dataset. These risk factors increase susceptibility to ischemic as well as a variety of pathologic comorbidities that may put patients at increased risk for stroke mortality. In-hospital mortality is defined as patients dying during hospitalization. Nevertheless, the presence of AF markedly increased the risk for peri-procedure complications, associated with a lengthy hospital stay, unfavorable discharge status, and increased medical cost. (2019) 12:181122. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). In-hospital mortality in TAVR was declining during the study period (decreasing from 5.24% in 2012 to 1.92% in 2016, Ptrend < 0.001), while mortality in SAVR remained unchanged (Ptrend = 0.31) (Figure 2B). Thus, we should place more emphasis on the optimal long-term management of TAVR patients with AF. So I used code as Clyde said, didn't change 30 to 40, and just filled the ICD codes and it worked. Healthcare cost and utilization project (HCUP) statistical briefs. the contents by NLM or the National Institutes of Health. [Table 3] provides missing data encountered during this analysis. Med. Internet Citation: Purchase HCUP Data. Healthcare Cost and Utilization Project (HCUP). 2004 HCUP Nationwide Inpatient Sample (NIS) comparison report. The non-modifiable risk factors are relatively few and include age, gender, genetics, ethnicity, and race. (2017) 376:132131. Are you having problems viewing or printing pages on this website? Variable data for the Network Information Service (NIS), formerly known as the Sun Yellow Pages (YP), must be placed in this directory. (2018) 11:e006929. One-way ANOVA and post hoc analysis results. TAVR was associated with lower rates of acute kidney injury, new dialysis, cardiac complications, acquired pneumonia, sepsis, mechanical ventilation, tracheostomy, non-routine discharge, and shorter length of stay; however, TAVR was associated with more pacemaker implantation and higher cost. Identifying Racial/Ethnic Disparities in Interhospital Transfer: an p. 200616. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. Timing, predictive factors, and prognostic value of cerebrovascular events in a large cohort of patients undergoing transcatheter aortic valve implantation. The State Databases that contain the revisit variables are indicated with an (R) in the Database Catalog for State Databases (Excel, 142 KB). Figure 1. Of the patients receiving TAVR, the presence of AF was associated with an increased rate of complications and increased medical resource usage compared to those without AF. Methods: National inpatient sample database in the United States from 2012 to 2016 were queried to identify hospitalizations for severe aortic stenosis patients with AF who underwent isolated aortic valve replacement. (2017). Clinical impact of baseline chronic kidney disease in patients undergoing transcatheter or surgical aortic valve replacement. Data User's Guide for the 2015 NIS Public-Use Data File Page i Acknowledgments The development and production of the NIS public-use data files is a team effort that has included contributions from many individuals (listed in alphabetical order) in the three organizations: National Center for Immunization and Respiratory Diseases, CDC - The .gov means its official. Purchase HCUP Data A controlled trial of rivaroxaban after transcatheter aortic-valve replacement. The information on this webpage will assist you in ordering, purchasing, and re-using HCUP databases, including data applications, requesting complementary databases, submitting data re-use and data sharing requests. Multiple chronic conditions and functional outcome after ischemic stroke: A systematic review and meta-analysis. [10], It is estimated that up to 90% of all strokes are caused by behavioral risk factors, making stroke highly preventable. Hospital length of stay was longest in patients with concomitant CHF (5.96 days, P < 0.001). The current study represents the largest real-world cohort to report in-hospital outcomes with TAVR vs. SAVR in patients with AF. [Table 2] provides the ICD-10 codes used to identify patients of interest for this analysis. doi: 10.1016/j.iccl.2018.06.001, 3. (2014) 63:15109. Background: Data comparing TAVR to SAVR in severe AS patients with AF are lacking. EuroIntervention. The long-term optimal management of these AF patients remains challenging, especially because the optimal antithrombotic regimens following TAVR have yet to be determined for AF patients or certain subgroups of AF populations (2326). 5.16. /var/yp : Network Information Service (NIS) database files (optional)
Shorts And Tops For Ladies,
Olma Hackleback Caviar,
Articles N