The racial disparity among post transcatheter aortic valve replacement outcomes: A meta-analysis

Autor: Vikash Jaiswal, Song Peng Ang, Muhammad Hanif, Mittal Savaliya, Ananya Vadhera, Nishchita Raj, Asmita Gera, Savvy Aujla, Farshid Daneshvar, Angela Ishak, Madeeha Subhan Waleed, Victor Hugo Aguilera-Alvarez, Sidra Naz, Maha Hameed, Zarghoona Wajid
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Cardiology: Heart & Vasculature, Vol 44, Iss , Pp 101170- (2023)
Druh dokumentu: article
ISSN: 2352-9067
DOI: 10.1016/j.ijcha.2023.101170
Popis: Background: Racial disparities have been well described in cardiovascular disease. However, the impact of race on the outcomes post - Transcatheter aortic valve replacement (TAVR) remains unknown. Objective: We aim to evaluate the disparity among the race (black and white) post - TAVR. Methods: We systematically searched all electronic databases from inception until September 26, 2022. The primary outcome was in-hospital all-cause mortality, and secondary outcomes was myocardial infarction (MI), acute kidney injury (AKI), permanent pacemaker implantation (PPI) or ICD, stroke, vascular complications, and major bleeding. Results: A total of three studies with 1,02,009 patients were included in the final analysis. The mean age of patients with white and black patients was 82.65 and 80.45 years, respectively. The likelihood of in-hospital all-cause mortality (OR, 1.01(95 %CI: 0.86–1.19), P = 0.93), stroke (OR, 0.83(95 %CI:0.61–1.13), P = 0.23, I2 = 46.57 %], major bleeding [OR, 1.05(95 %CI:0.92–1.20), P = 0.46), and vascular complications [OR, 0.92(95 %CI:0.81–1.06), P = 0.26), was comparable between white and black patients. However, patients with white race have lower odds of MI (OR, 0.65(95 %CI:0.50–0.84), P
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