Valvular Heart DiseaseComparison of Inhospital Outcomes of Surgical Aortic Valve Replacement in Hospitals With and Without Availability of a Transcatheter Aortic Valve Implantation Program (from a Nationally Representative Database)
Section snippets
Methods
Data were obtained from the Nationwide Inpatient Sample (NIS) for the years 2011 and 2012. NIS is a part of a family of databases developed for the Healthcare Cost and Utilization Project (HCUP) and is sponsored by the Agency for Healthcare Research and Quality (AHRQ). Data from the NIS have previously been used to identify, track, and analyze national trends in health care usage, patterns of major procedures, access, disparity of care, trends in hospitalizations, charges, quality, and outcomes.
Results
A total of 9,674 SAVR procedures (which translates to an estimated 47,410 procedures performed in 1,110 hospitals) were identified of which 4,526 (46.79%) were performed in hospitals with availability of TAVI (SAVR-TAVI group) and 5,148 (53.21%) in non-TAVI hospitals (SAVR-non-TAVI group). Table 1 demonstrates the baseline characteristics of the study population. The mean age of the study population was 70.2 ± 0.1 years with majority (53%) of the patients aged >70 years; 58% were men and 78%
Discussion
In this analysis of patients aged >50 years who underwent SAVR in the United States, we demonstrate that inhospital mortality and complication rates of SAVRs performed in centers with a TAVI program is significantly less than those performed in centers without a TAVI program. Despite having greater burden of risk factors and co-morbidities, SAVRs performed in TAVI centers were associated with improved outcomes. This effect of TAVI on inhospital mortality and complication rates was also
Disclosures
None of the authors have anything to disclose.
References (22)
- et al.
Comparison of outcomes of balloon aortic valvuloplasty plus percutaneous coronary intervention versus percutaneous aortic balloon valvuloplasty alone during the same hospitalization in the United States
Am J Cardiol
(2015) - et al.
Contemporary perioperative results of isolated aortic valve replacement for aortic stenosis
Ann Thorac Surg
(2010) - 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.
Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database
J Thorac Cardiovasc Surg
(2009) - et al.
Fifteen-year outcome trends for valve surgery in North America
Ann Thorac Surg
(2011) - et al.
Mortality after aortic valve replacement: results from a nationally representative database
Ann Thorac Surg
(2000) - et al.
The heart team of cardiovascular care
J Am Coll Cardiol
(2013) - et al.
Transcatheter versus surgical aortic-valve replacement in high-risk patients
N Engl J Med
(2011) - et al.
Impact of annual operator and institutional volume on percutaneous coronary intervention outcomes: a 5-year United States experience (2005-2009)
Circulation
(2014) - et al.
Contemporary trends of hospitalization for atrial fibrillation in the United States, 2000 through 2010: implications for healthcare planning
Circulation
(2014)
In-hospital complications associated with catheter ablation of atrial fibrillation in the United States between 2000 and 2010: analysis of 93 801 procedures
Circulation
Cited by (0)
Drs. Singh, Badheka, and Patel share equal contribution to this manuscript.
See page 1235 for disclosure information.