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30-day Risk Standardized Morbidity and Mortality Composite following Transcatheter Aortic Valve Replacement (TAVR)

CBE ID
3610
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2027
1.6 Measure Description

The TAVR 30-day morbidity/mortality composite is a hierarchical, multiple outcome risk model that estimates risk standardized results (reported as a “site difference”) for the purpose of benchmarking site performance. This measure estimates hospital risk standardized site difference for 5 endpoints (death from all causes, stroke, major or life-threatening bleeding, acute kidney injury, moderate or severe paravalvular aortic regurgitation) within 30 days following transcatheter aortic valve replacement. The measure uses clinical data available in the STS/ACC TVT Registry for risk adjustment for the purposes of benchmarking site to site performance on a rolling 3-year timeframe.

    Measure Specs
      General Information
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.14 Numerator

      A composite outcome including all-cause death, stroke, major or life threatening bleeding, acute kidney injury, moderate or severe paravalvular aortic regurgitation within 30 days following transcatheter aortic valve replacement (TAVR).

      If a patient experiences multiple outcomes captured in the overall rank composite measure, the outcome with the highest rank is assigned.

      1.15 Denominator

      Patients who had TAVR.

      Exclusions

      Hospitals are excluded if they do not meet eligibility criteria noted in S.7.
      Patients are excluded if any of the following occur:
      1) They did not have a first-time TAVR in the episode of care (admission),
      2) The TAVR was subsequent to another procedure in the Registry (other TAVR, Mitral Leaflet Clip and/or TMVR) during that admission.
      3) The patient is readmitted for a repeat TAVR (re-admission) and the initial TAVR was performed during the rolling 3-year timeframe for the measure.
      4) They are in TVT Registry sponsored research studies (identified with research study=yes and research study device used during procedure).

      Most Recent Endorsement Activity
      Endorsed Cardiovascular Spring 2021
      Initial Endorsement
      Last Updated
      Steward Organization
      American College of Cardiology
      Steward POC email
              Risk Adjustment
                Public Comments