Latest Hospital & Healthcare News

Mortality Rates in Aortic Valve Replacement: Are Rapid-Deployment Valves like LivaNova Perceval Cost-Effective?

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By: James Pitt  Oct. 15, 2018

Heart valve replacement is a competitive field, with many competing options. A recently developed category is rapid deployment valves, which do not require suturing. This allows for much faster implantation. Payors class these valves as experimental, under ICD-10 procedure codes like X2RF032 for open-approach implantation, rather than under the ICD-10 codes like 02RF08Z that conventional heart valves are assigned.

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Catheter Ablation Could Potentially Save $1,725 Per Hospitalization in Paroxysmal AFib Without Complications

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By: James Pitt  Oct. 08, 2018

Atrial fibrillation, the most common arrhythmia, is a condition in which the heart's upper chambers contract rapidly and irregularly. Twenty years ago, Haïssaguerre et. al discovered that pulmonary veins can spontaneously trigger AFib, and isolating pulmonary veins from each other with radiofrequency catheter ablation can correct it.

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Stent Thrombosis and Bleeding Highest within 30 Days of Procedure; Cobra PzF Stent Shows Promise as Means to Address

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By: James Pitt  Sep. 06, 2018

In Dexur's national data, there were about 150,000 Percutaneous Cardiovascular Procedures With Coronary Artery Stent each year from 2013-2016 in Medicare-eligible inpatients. Stents are a diverse and fast-moving market. The most common devices are bare-metal or drug-eluting, but innovations like CeloNova's polymer-coated Cobra PzF stent may have advantages for patients at high risk of bleeding. This advantage comes indirectly, through reducing the risk of stent thrombosis.

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Ultrafiltration Devices such as Aquadex May Help Address LOS in Congestive Heart Failure Patients

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By: James Pitt  Aug. 28, 2018

Congestive heart failure (CHF) occurs when fluid builds up around the heart and interferes with its normal activity. An extremely common diagnosis, CHF affects about 5.7 million people, and is generally treated with diuretics.

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69,000 Transcatheter Aortic Valve Replacements from 2013-2017; 60,000 Used Zooplastic Tissue

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By: James Pitt  Aug. 27, 2018

Transcatheter aortic valve replacement (TAVR, aka TAVI or PAVR) is a procedure to replace the valve between the largest blood vessel and the heart. In this procedure, a replacement valve is passed along through a blood vessel to the heart. This allows surgeons to replace the valve in patients who would face too many risks in open-heart surgery.

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Heart Valve Replacement Surgeries Have a Higher Case Mix Index When There is Cardiac Catheterization

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By: James Pitt  Aug. 17, 2018

The Centers for Medicare and Medicaid Services reimburses heart valve procedures based on which of six diagnosis-related groups (DRGs) they fall in. These groups are based on whether there were complications/ comorbidities (CCs) and on whether cardiac catheterization was used.

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TCAR May Have Potential For Reducing Carotid Artery Readmissions

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By: James Pitt  Aug. 16, 2018

When plaque builds up in the arteries that carry blood to the brain, the patient has carotid artery disease. This disease creates a great risk of stroke, because plaque can break off and cause an obstruction in vessels in the brain. Carotid artery disease is involved in 8% of ischemic strokes. Per Weber and Clair 2014, “Carotid artery disease leading to stroke is one [of] the primary causes of serious long-term disability in the United States today.”

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30% of Peripheral Vascular Disorders in Texas Hospitals involve Major Complications; Fort Worth Case Study

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By: James Pitt  Aug. 15, 2018

Peripheral artery disease (PAD) is a common condition in which narrowed blood vessels reduce blood flow to the limbs. Calcium buildups on the vessel walls frequently complicate treatment. Rocha-Singh et. al write “The prevalence of VC [vascular calcification] in lower extremity PAD is inadequately defined, but data extrapolated from other vascular beds provide evidence that 30-50% of patients may manifest some degree of VC.”

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How to Evaluate the Impact of Fluid Imbalances on Sepsis Patients: Part 3: ICU Stays

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By: James Pitt  Aug. 14, 2018

Sepsis is strongly associated with intensive care. 54.7% of sepsis patients required ICU stays in 2014, with a median 5 day length of stay in ICU and 10 day length of stay overall, according to Rhee et. al (2017) in JAMA. Dexur has previously reported that fluid imbalance is associated with higher odds of ICU stay in patients with infections, including sepsis with major complications, at hospitals in Arkansas.

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How to Evaluate the Impact of Venous Thromboembolism (VTE): Part 2: Incidence

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By: James Pitt  Aug. 13, 2018

Hospitalized patients are at greater risk of venous thromboembolism than the general population, in part because immobility increases VTE risk. According to the CDC report on healthcare-associated VTE, up to 70% of HA-VTE cases are preventable.

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