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Gender Differences in Age-Stratified Inhospital Outcomes After Transcatheter Aortic Valve Implantation (from the National Inpatient Sample 2012 to 2018)

The American journal of cardiology, 2022-03, Vol.167, p.83-92 [Tạp chí có phản biện]

2021 Elsevier Inc. ;Copyright © 2021 Elsevier Inc. All rights reserved. ;2021. Elsevier Inc. ;ISSN: 0002-9149 ;EISSN: 1879-1913 ;DOI: 10.1016/j.amjcard.2021.11.038 ;PMID: 34991843

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Nhan đề:
Gender Differences in Age-Stratified Inhospital Outcomes After Transcatheter Aortic Valve Implantation (from the National Inpatient Sample 2012 to 2018)
Tác giả: Zahid, Salman ; Khan, Muhammad Zia ; Ullah, Waqas ; Rai, Devesh ; Din, Mian Tanveer Ud ; Abbas, Sakina ; Ubaid, Aamer ; Khan, Muhammad Usman ; Thakkar, Samarthkumar ; Sheikha, Mohammad Abu ; Salama, Amr ; Baibhav, Bipul ; Rao, Mohan ; Balla, Sudarshan ; Alkhouli, Mohamad ; Depta, Jeremiah P. ; Michos, Erin D.
Chủ đề: Acute Kidney Injury - complications ; Age ; Age groups ; Aged, 80 and over ; Aorta ; Aortic valve ; Aortic Valve - surgery ; Aortic Valve Stenosis ; Blood transfusion ; Cardiovascular disease ; Codes ; Complications ; Coronary vessels ; Female ; Females ; Gender ; Gender aspects ; Heart Valve Prosthesis Implantation ; Heart valves ; Hospital costs ; Hospital Mortality ; Humans ; Implantation ; Injury analysis ; Inpatients ; Kidney diseases ; Kidneys ; Male ; Males ; Middle Aged ; Mortality ; Pacemakers ; Patients ; Population ; Revisions ; Risk Factors ; Sex differences ; Sex Factors ; Transcatheter Aortic Valve Replacement ; Treatment Outcome ; Trends ; Variables
Là 1 phần của: The American journal of cardiology, 2022-03, Vol.167, p.83-92
Mô tả: Contemporary data on gender differences in outcomes after transcatheter aortic valve implantation (TAVI), after stratification by age, remain limited. We studied age-stratified (60 to 70, 71 to 80, and 81 to 90 years) inhospital outcomes by gender after TAVI from the National Inpatient Sample database between 2012 and 2018. We analyzed National Inpatient Sample data using the International Classification of Diseases, Clinical Modification, Ninth Revision, and Tenth Revision claims codes. Between the years 2012 and 2018, a total of 188,325 weighted hospitalizations for TAVI were included in the analysis. A total of 21,957 patients were included in the 60 to 70 age group (44% females), 60,770 (45% females) in the 71 to 80 age group, and 105,580 (50% females) in the 81 to 90 age groups, respectively. Propensity-matched inhospital mortality rates were significantly higher for females than males for the age group of 81 to 90 years (3.0% vs 2.1%, p <0.01). Vascular complications and a need for blood transfusions remained significantly higher for females on propensity-matched analysis across all categories of ages. Conversely, acute kidney injury and the need for pacemaker implantation remained significantly higher for males across all age groups. In conclusion, we report that mortality is higher in female patients who underwent TAVI between the ages of 81 to 90. Moreover, the female gender was associated with higher vascular complications and bleeding requiring transfusions. Conversely, the male gender was associated with higher rates of pacemaker implantation and acute kidney injury.
Nơi xuất bản: United States: Elsevier Inc
Ngôn ngữ: English
Số nhận dạng: ISSN: 0002-9149
EISSN: 1879-1913
DOI: 10.1016/j.amjcard.2021.11.038
PMID: 34991843
Nguồn: AUTh Library subscriptions: ProQuest Central
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Gender Differences in Age-Stratified Inhospital Outcomes After Transcatheter Aortic Valve Implantation (from the National Inpatient Sample 2012 to 2018)

2021 Elsevier Inc. ;Copyright © 2021 Elsevier Inc. All rights reserved. ;2021. Elsevier Inc. ;ISSN: 0002-9149 ;EISSN: 1879-1913 ;DOI: 10.1016/j.amjcard.2021.11.038 ;PMID: 34991843

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