In-hospital outcomes of transcatheter vs surgical aortic valve replacement for nonagenarians
Catheterization and Cardiovascular Interventions Jan 25, 2019
Elgendy IY, et al. - Researchers used years 2012–2014 of the National Inpatient Sample to assess the in-hospital outcomes of transcatheter aortic valve replacement (TAVR) vs surgical aortic valve replacement (SAVR) in nonagenarians by using unadjusted, multivariate logistic regression and propensity score matched analyses. They analyzed hospitalization data for 6,680 nonagenarians undergoing aortic valve replacement, among which 5,840 (87.4%) had TAVR. In the unadjusted and propensity score-matched analyses, the incidence of in-hospital mortality between both groups was not different. In association with TAVR, a lower incidence of acute kidney injury, post-operative blood transfusion, a higher likelihood of discharge to home, and a similar incidence of pacemaker placement and stroke were observed in the propensity-matched analysis. Overall, TAVR was suggested to be effective and safe in nonagenarians.
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