Temporal trends in utilization of transcatheter aortic valve replacement and patient characteristics: A nationwide study.
Am Heart J
; 243: 140-146, 2022 01.
Article
em En
| MEDLINE
| ID: mdl-34587509
ABSTRACT
AIM:
To investigate trends in the utilization of transcatheter aortic valve replacement (TAVR) and changes in the characteristics of patients undergoing first-time TAVR.METHODS:
Using Danish nationwide registers, we included all patients undergoing TAVR between 2008 and 2020. To compare patient characteristics, the study population was stratified according to calendar year of procedure 2008-2010, 2011-2013, 2014-2016, and 2017-2020.RESULTS:
We identified 6,097 patients undergoing TAVR with year-by-year increases in TAVR penetration rate. Over time, the age of the patients remained stable (2008-2010 median age 82 year [interquartile range (IQR) 77-86] vs 2017-2020 median age 81 years [IQR 77-85]). Moreover, there was an increase in male patients (2008-2010 49.9% vs 2017-2020 57.4%) and patients with diabetes (2008-2010 14.2% vs 2017-2020 19.2%). Conversely, a history of stroke (2008-2010 15.8% vs 2017-2020 13.1%), previous myocardial infarction (2008-2010 22.4% vs 2017-2020 10.0%), heart failure (2008-2010 40.5% vs 2017-2020 25.2%), and peripheral artery disease (2008-2010 14.8% vs 2017-2020 10.4) decreased among patients.CONCLUSIONS:
TAVR utilization increased markedly in the years 2008-2020. Patients undergoing TAVR had less comorbidity over time while age remained stable. Thus, despite expanding to patients at lower surgical risk, TAVR is still offered mainly to older patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estenose da Valva Aórtica
/
Implante de Prótese de Valva Cardíaca
/
Substituição da Valva Aórtica Transcateter
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Am Heart J
Ano de publicação:
2022
Tipo de documento:
Article