Temporal trends in utilization and outcomes of transcatheter aortic valve replacement in different races
| Autor: | Tanveer Mir, Samir Kapadia, Chun Shing Kwok, Kenton J. Zehr, Mohamed O. Mohamed, Abedelrahim I Asfour, Mamas A. Mamas, M. Chadi Alraies, Fahed Darmoch, David G. Rizik, Nketchi Ijioma, Yasar Sattar, Yasser Al-Khadra, Waqas Ullah, Homam Moussa Pacha |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Transcatheter aortic medicine.medical_treatment Population Black People 030204 cardiovascular system & hematology White People Transcatheter Aortic Valve Replacement 03 medical and health sciences Postoperative Complications 0302 clinical medicine Valve replacement Risk Factors Outcome Assessment Health Care Humans Medicine In patient Hospital Mortality 030212 general & internal medicine education Aged education.field_of_study business.industry Aortic Valve Stenosis Health Status Disparities General Medicine Odds ratio Patient Acceptance of Health Care United States Confidence interval Race Factors White population Female Cardiology and Cardiovascular Medicine business Lower mortality Demography |
| Zdroj: | Journal of Cardiovascular Medicine. |
| ISSN: | 1558-2027 |
| DOI: | 10.2459/jcm.0000000000001172 |
| Popis: | AIM We sought to determine the racial and ethnical disparities in the delivery of TAVR and to evaluate the in-hospital outcomes and utilization of TAVR stratified by patient ethnicity. METHOD Using a national inpatient sample database between 2011 and 2015, we identified all adult patients who had TAVR. Races were identified and white race was set as control. Multiple logistic regression analysis was performed for the primary outcome of in-hospital mortality. RESULTS Out of 58 174 patients who underwent TAVR, 50 809 (87.3%) were white, 2327 (4.0%) were black, 2311 (4.0%) were Hispanic, 640 (1.1%) Asian, 105 (0.2%) Native American and 1982 (3.4%) of other ethnicities. We found a statistically significant linear uptrend in the utilization of TAVR in patients of all races between the years 2011 and 2015. White, black, Hispanic and Native American patients had a downward linear trend for mortality during the studied years (P ≤ 0.005 for all). Black patients had lower in-hospital mortality [2.8 vs. 3.6%, odds ratio (OR) = 0.62; 95% confidence interval (CI) 0.44, 0.81 P |
| Databáze: | OpenAIRE |
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