Healthcare utilization in clinically significant tricuspid regurgitation patients with and without heart failure

J Comp Eff Res. 2021 Jan;10(1):29-37. doi: 10.2217/cer-2020-0198. Epub 2020 Nov 11.

Abstract

Aim: This study evaluated how the presence of right-sided heart disease (RSHD), other valve disease (OVD) and heart failure (HF) impacts healthcare utilization in patients with tricuspid valve disease (tricuspid regurgitation [TR]). Materials & methods: Of the 33,686 patients with TR: 6618 (19.6%) had TR-only; 8952 (26.6%) had TR with HF; 12,367 (36.7%) had TR with OVD but no HF; and 5749 (17.1%) had TR with RSHD only. Results: The presence of RSHD, OVD or HF in patients with TR was independently associated with increased annualized hospitalizations, hospital days and costs relative to patients with TR alone. Conclusion: All three co-morbidities were associated with increased healthcare utilization, with HF showing the greatest impact across all measures.

Keywords: cardiology/cardiovascular; health economics; heart failure; observational research; tricuspid regurgitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care
  • Heart Failure* / epidemiology
  • Heart Failure* / therapy
  • Heart Valve Diseases*
  • Humans
  • Retrospective Studies
  • Tricuspid Valve Insufficiency* / epidemiology