In-Hospital Outcomes of Surgical Aortic Valve Replacement at Transcatheter Valve Implantation Centers
Section snippets
Methods
We performed a retrospective analysis using the NIS for the years 2011 to 2018. The NIS is the largest publicly available all-payer inpatient database in the United States, designed by the Agency of Healthcare Research and Quality (AHRQ) to produce national estimates of inpatient utilization and outcomes. The diagnosis and procedures performed during inpatient visits were identified using the International Classification of Disease (ICD), Ninth (ICD-9) and ICD Tenth (ICD-10) Revision codes.
Results
The characteristics and co-morbidities of patients who underwent SAVR at TAVI and non-TAVI-performing hospitals are summarized in Table 1. The majority of SAVR were performed at TAVI hospitals (65.9 ± 0.8%) during 2011 to 2018. Furthermore, the number of SAVR performed at TAVI hospitals increased, and the number of SAVR at non-TAVI decreased from 2011 to 2018 (Supplementary Figure 1).
At TAVI hospitals, 75.3 ± 0.5% received a bAVR, whereas 24.7 ± 0.5% underwent mAVR compared with patients at
Discussion
In the present study, we evaluated trends in the use of valve type and in-hospital outcomes after SAVR at TAVI and non-TAVI hospitals in the contemporary population in the United States. Patients who underwent SAVR at TAVI hospitals had a lower in-hospital mortality, despite more co-morbidities, than those patients who underwent SAVR at non-TAVI hospitals.
We found several differences in characteristics of patients who underwent SAVR at TAVI hospitals compared with non-TAVI hospitals. In
Disclosures
The authors have no conflicts of interest to declare.
References (17)
- et al.
STS-ACC TVT registry of transcatheter aortic valve replacement
J Am Coll Cardiol
(2020) - et al.
The heart team of cardiovascular care
J Am Coll Cardiol
(2013) - et al.
Prediction of operative mortality after valve replacement surgery
J Am Coll Cardiol
(2001) - et al.
The association of transcatheter aortic valve replacement availability and hospital aortic valve replacement volume and mortality in the United States
Ann Thorac Surg
(2014) - et al.
Trends in isolated surgical aortic valve replacement according to hospital-based transcatheter aortic valve replacement volumes
JACC Cardiovasc Intv
(2018) - et al.
2017 ESC/EACTS Guidelines for the management of valvular heart disease
Eur Heart J
(2017) - et al.
2020 ACC/AHA Guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines [published correction appears in Circulation 2021;143:e228] [published correction appears in Circulation 2021;143:e784]
Circulation
(2021) - et al.
Trends in aortic valve replacement for aortic stenosis: a French nationwide study
Eur Heart J
(2022)
Cited by (0)
Funding: None.
See page 83 for disclosure information.