Abstract 14007: Transcatheter Mitral Valve Replacement Among Patients With Chronic Kidney Disease: Insights From The National Readmissions Database
| Autor: | Ayman Elbadawi, MAHMOUD ABDELGHANY, Alexander Dang, Awad Javaid, Mennaallah Eid, DAVID PANIAGUA, Hani Jneid |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Circulation. 144 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Introduction: There is a paucity of data regarding the outcomes of trans-septal transcatheter mitral valve replacement (TS-TMVR) among patients with chronic kidney disease (CKD). Methods: We queried the Nationwide Readmissions Database (2015-2018) for patients undergoing TS-TMVR. We identified patients with CKD (stages III or more). We conducted propensity score matching analysis to compare the outcomes of patients with versus without CKD. The main outcomes were in-hospital mortality and 30-day non-elective readmissions. Results: From 2015 to 2018, there were 2,017 discharge records for patients receiving TS-TMVR, of whom 733 (36.34%) had CKD. Among the CKD group, 76 (10.4%) required chronic dialysis. During the study time period, there was an increase in the uptake of TS-TMVR among patients with CKD (p Conclusions: TS-TMVR among patients with CKD is associated with increased risk for cardiogenic shock, worsening renal function requiring hemodialysis, but no increase in mortality when compared with non-CKD patients. A higher length of stay and 30-day readmission rate was observed in CKD patients versus non-CKD patients. |
| Databáze: | OpenAIRE |
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