Racial/Ethnic Disparities in Patients Undergoing Transcatheter Aortic Valve Replacement: Insights from the Healthcare Cost and Utilization Project's National Inpatient Sample

Autor: Harish Ramakrishna, Pedro Cox-Alomar, Dagmar F. Hernandez-Suarez, Stacey Thomas, Nicole Yordan-Lopez, Lorena González-Sepúlveda, Jose Wiley, Abiel Roche-Lima, Brenda G. Nieves-Rodriguez, Angel López-Candales, Sagar Ranka, Pedro A. Villablanca, Cristina Sanina
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
Time Factors
Databases
Factual
medicine.medical_treatment
Population
Ethnic group
030204 cardiovascular system & hematology
Risk Assessment
White People
Article
Transcatheter Aortic Valve Replacement
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Valve replacement
Risk Factors
Internal medicine
medicine
Humans
Hospital Mortality
030212 general & internal medicine
Myocardial infarction
Healthcare Disparities
Hospital Costs
Healthcare Cost and Utilization Project
education
Stroke
Aged
Aged
80 and over
Inpatients
education.field_of_study
business.industry
Incidence (epidemiology)
Aortic Valve Stenosis
Hispanic or Latino
General Medicine
Length of Stay
medicine.disease
United States
Black or African American
Treatment Outcome
Cohort
Female
Cardiology and Cardiovascular Medicine
business
Zdroj: Cardiovasc Revasc Med
ISSN: 1553-8389
Popis: PURPOSE: To identify racial/ethnic disparities in utilization rates, in-hospital outcomes and health care resource use among Non-Hispanic Whites (NHW), African Americans (AA) and Hispanics undergoing transcatheter aortic valve replacement (TAVR) in the United States (US). METHODS AND RESULTS: The National Inpatient Sample database was queried for patients ≥18 years of age who underwent TAVR from 2012 to 2014. The primary outcome was all-cause in hospital mortality. A total of 36,270 individuals were included in the study. The number of TAVR performed per million population increased in all study groups over the three years [38.8 to 103.8 (NHW); 9.1 to 26.4 (AA) and 9.4 to 18.2 (Hispanics)]. The overall in-hospital mortality was 4.2% for the entire cohort. Race/ethnicity showed no association with in-hospital mortality (P>.05). Though no significant difference were found between AA and NHW in any secondary outcome, being Hispanic was associated with higher incidence of acute myocardial infarction (aOR=2.02; 95%CI, 1.06–3.85; P=.03), stroke/transient ischemic attack (aOR=1.81; 95%CI, 1.04–3.14; P=.04), acute kidney injury (aOR=1.65; 95%CI, 1.23–2.21; P
Databáze: OpenAIRE
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