Table 3.
Comorbidities and Risk Factors Contributing to TAVI outcomes of Morbidity or Mortality
| Risk Factor | HR/OR, 95% CI, P value | Trial Evaluating |
|---|---|---|
| STS score | Dewey et al.(79) | |
| EuroSCORE | Nashef et al.(42) | |
| SURTAVI score | Van Mieghem et al.(53) | |
| BMI* | HR 0.96; CI,0.94 to 0.98; p<0.001 | Kodali et al.(49) |
| Stroke history | HR 2.99; CI, 1.19 to 7.51; p=0.01 | Makkar et al.(22) |
| COPD requiring oxygen | HR 1.69; CI, 1.05 to 2.73; p=0.03 | Makkar et al. |
| Liver disease | HR 2.24; CI, 1.30 to 4.00; p= 0.006 | Kodali et al. |
| Age** | OR 1.09, CI 1.03 to 16 p=0.005 | Auffret et al.(80) |
| Frailty | HR 3.5; CI, 1.4 to 8.5; p<0.007 | Green et al.(68) |
| Cognitive Impairment | OR 2.85 (1.32–6.17) 0.1 | Stortecky et al.(67) |
| Malnutrition*** | OR 1.30 (1.03–1.66) 0.03 | Stortecky et al. |
| Trans-apical approach | OR 3.12; CI, 1.43 to 6.82; p=0.004 | Van der Boon et al.(81) |
| PH ≥ 60 mm Hg | OR 7.56; CI, 2.58 to 22.17; p<0.001 | Auffret et al. |
| Low-Flow | HR 1.48; CI, 1.13 to 1.97; p=0.005 | Le Ven et al.(32) |
| Peri-procedural Cr | HR 1.06; CI, 1.00 to 1.13, p=0.04 | Kodali et al. |
| Prior Vascular surgery | HR 1.85; CI, 1.01 to 3.39, p=0.05 | Kodali et al. |
| Moderate to severe MR | HR 1.36 CI, 1.02 to 1.82, p=0.04 | Kodali et al. |
HR = Hazard Ratio, OR= Odds Ratio, CI= 95% Confidence Interval, BMI = Body Mass Index, COPD = Chronic Obstructive Pulmonary Disease, PH = Pulmonary Hypertension, Cr= Creatinine, MR = Mitral Regurgitation
Lower BMI seen to be protective; the hazard ratio represents an increase of 1
for each increase of 1 year
based on mini nutritional assessment (82)