In the United States, the average mortality of all patients undergoing this procedure is 4%.
Taking into account the patient's specific clinical condition, the statistical estimate that she might not survive the procedure is 2.4%.
This means that for every 100 patients having a similar clinical makeup, there would be 2.4 who did not survive.
The model provides an objective risk-adjusted estimate of in-hospital mortality which has real value for both patient and provider. It should be considered as one element in the evaluation process, to be considered along with the other traditional factors that determine whether the patient is an appropriate candidate for the procedure.
The STS/ACC TAVR In-Hospital Mortality Risk App is intended to be used by physicians at the point-of-care to evaluate a patient’s potential risk of death while in the acute care setting from the TAVR procedure.
How was this app developed?
The STS/ACC TAVR In-Hospital Mortality Risk App was developed at the ACC in collaboration with STS using the STS/ACC TVT Registry risk-adjusted mortality model. Development of the App was overseen by a group of clinical leaders and experts representing the target audience. Technical experts designed and built the App. Several rounds of user testing were conducted by physicians, nurse practitioners, and others with sample patients.
Please see the Resources section of this app for links to additional references.
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Full Guidelines and other References
TAVR risk score for the prediction of mortality : Hans R. Figulla, Alexander Lauten; Christian Hamm; Rudiger Lange; Stefan Sack; Friedrich W. Mohr.Based on data from the German Aortic Valve Registry (GARY) a novel scoring system to predict 1year-mortality in patients undergoing transcatheter aortic valve replacement was developed. J Am Coll Cardiol. 2014; 64(11_S):. doi:10.1016/j.jacc.2014.07.787
Long-Term Results for Transcatheter Aortic Valve Replacement (TAVR) : Pablo Codner; Abid Asali; Hanna Vaknin-Assa; Yaron Shapira; Gabriel Greenberg; Katia Orbin; Marina Kupershmidt; Tamir Bental; Alexander Battler; Alexander Sagie; Ran Kornowski. TAVR is an emerging technique for the treatment of severe symptomatic aortic stenosis (AS). Few data reported the long-term outcomes of patients undergoing TAVR. J Am Coll Cardiol Intv. 2013;6(2_S):S44-S45. doi:10.1016/j.jcin.2013.01.063
An Overview of Aortic Valve Replacement : The educational activity that is part of the Championing Care for the Patient with Aortic Stenosis initiative which is designed to empower the healthcare team to appropriately assess, refer, and provide timely intervention for patients with aortic stenosis in a patient-centered manner. September 2013
Terms of Services
TAVR License Agreement
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