Aortic Stenosis
Conditions
Keywords
aortic stenosis, TAVI, Trans-catheter Aortic Valve Implantation, cardiovascular disease, Surgical Aortic Valve Replacement
Brief summary
The goal of this trial is to see if a tool that may reduce wait times will reduce bad outcomes in participants on the TAVI waitlist. The main questions it aims to answer are: * How many deaths, hospitalizations, or urgent TAVI procedures take place while participants wait * Days alive and out of hospital at 30 days and 12 weeks, total health care costs, and wait times Researchers will compare usual wait times to see if the tool reduces death, hospitalizations, and urgent procedures.
Interventions
Tool that uses patient characteristics to triage patients for an earlier procedure date vs the standard of care 12 week wait for procedure.
Sponsors
Study design
Intervention model description
Step-Wedged Cluster Randomized
Eligibility
Inclusion criteria
* All patients referred for TAVI who are 18 years or older at one of 11 TAVI hospitals
Exclusion criteria
* Any inpatient referrals who have an urgent inpatient TAVI on the same admission * Any referral during the 1-month transition period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the efficacy of using the CAN3T tool in triage compared to standard care, in TAVI patients, including: reduce wait-time adverse events, improve patient-centred outcomes, and reduce wait-time health care utilization. | From the beginning of enrollment and continuing for 32 months. | Composite of death, all-cause hospitalization or urgent TAVI (in-hospital and unplanned TAVI) on the TAVI waitlist. The waitlist period is defined as period between TAVI referral and first of either death, TAVI procedure or off list. |