B-35 | Recent Trends in Same Day Discharge Post Transcatheter Aortic Valve Replacement: A 5 year Analysis of the National Inpatient Sample

Transcatheter aortic valve replacement (TAVR) is one of the recommended interventions for patients with symptomatic stenosis. Same-day discharge (SDD) prevents increased hospital length stay, reduces infection rates, and improves overall health patients. SDD post-TAVR has been found to be safe feasible among carefully selected This study examines recent trend in hospitalized United States. Using International Classification Diseases, 10th edition, Clinical Modification (ICD-10-CM) procedure codes, we queried National Inpatient Sample 2016 2020 hospitalizations who had a transcatheter as primary procedure. was defined stay after TAVR that did not involve overnight monitoring (length < 1 day). Demographic characteristics were compared between non-SDD. Trends described years 2020. included 58,125 2020, which 53.1% males, 46.9% females. There no statistically significant difference mean age non- [mean ± S.D: 78.9 8.4 vs. 8.5 (P=0.95)]. observed 271 (0.47%) out during period. Our analysis revealed an increasing proportion from 0.29% 0.76% (p<.0001), most increase occurring 2019 (0.41% 2020). Compared non-SDD, reported average savings $28,100 No number rural urban hospitals (p=0.07). findings show need advocate same-day replacement.