Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Contemporary trends in the management of aortic stenosis in the USA

Mohamad Alkhouli, Fahad Alqahtani, Khaled M. Ziada, Sami Aljohani, David R. Holmes, Verghese Mathew

European Heart Journal · 2019

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Summary

AIMS: To assess the contemporary trends in aortic stenosis (AS) interventions in the USA before and after the introduction of transcatheter aortic valve implantation (TAVI). METHODS AND RESULTS: We utilized the National-Inpatient-Sample to assess temporal trends in the incidence, cost, and outcomes of AS interventions between 1 January 2003 and 31 December 2016. During the study's period, AS interventions increased from 96 to 137 per 100 000 individuals > 60 years old, P < 0.001. In-hospital expenditure on AS interventions increased from $2.28 billion in 2003 to $4.33 in 2016 P < 0.001. Among patients who underwent aortic valve replacement, the proportion of TAVI increased from 11.9% in 2012 to 43.2% in 2016 (P < 0.001). Males and Hispanics had lower proportions of TAVI compared with femal

Source type
Peer-reviewed study
DOI
10.1093/eurheartj/ehz568
Catalogue ID
SNmojbilmx-ng1wg1
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