Table 3.
Quality of life | Heart function | Status of assistance | |||||||
EQ-5DIndex | five EQ-5D dimensions | ||||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | |
EQ-5DIndex | Mobiliy | Looking after myself | Doing usual activities | Having pain or discomfort | Feeling worried, sad or unhappy | NYHA score | CCS score | Status of assistance | |
Point estimate | Odds ratios from the ordered logistic regression model | ||||||||
Value at baseline | 0.321*** | 7.314*** | 18.30*** | 9.356*** | 2.222*** | 2.756*** | 2.419*** | 1.378*** | 9.049** |
EuroSCORE at baseline | −0.000761 | 1.029 | 1.046 | 1.040* | 0.999 | 1.011 | 0.992 | 1.000 | 0.985 |
TAVR | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference |
SAVR | 0.0532 | 0.209** | 0.754 | 0.396* | 0.459** | 0.413* | 1.258 | 0.912 | 0.0441*** |
SAVRplus | −0.112* | 3.162 | 6.843 | 3.559 | 2.185 | 2.487 | 2.416 | 1.132 | 1.129 |
DRUG | −0.180** | 14.42*** | 1.463 | 1.948 | 2.114 | 3.667*** | 26.69*** | 1.416 | 2.174 |
Last follow-up before death | −0.536*** | 111.5*** | 291.0*** | 149.0*** | 34.40*** | 53.33*** | 4.141 | 1.816 | 123.2** |
Second last follow-up before death | −0.334*** | 16.37** | 31.55*** | 8.390* | 19.85*** | 16.00*** | 1.826 | 1.752 | 16.09* |
Third from last follow-up before death | −0.246*** | 15.48* | 30.99*** | 9.799* | 3.929 | 3.782 | 5.026* | 1.817 | 55.18** |
Fourth from last follow-up before death | −0.225*** | 9.108* | 12.66*** | 7.110 | 4.175 | 8.558** | 1.670 | 2.307 | 24.06** |
Fifth from last follow-up before death | −0.157*** | 6.018 | 15.68** | 11.47* | 1.822 | 2.491 | 0.985 | 1.371 | 16.51* |
Sixth from last follow-up before death | −0.108** | 2.088 | 3.711 | 3.231 | 3.290 | 3.457 | 1.360 | 1.129 | 16.89 |
Overall trend | −0.00140 | 1.087*** | 1.041 | 0.967 | 1.043*** | 0.978 | 1.051*** | 1.021 | 1.071* |
Month 1 post-discharge | −0.0425** | 2.139* | 2.038* | 2.282** | 1.212 | 1.346 | 1.853* | 1.047 | 3.206* |
Constant | 0.554*** | ||||||||
N | 2159 | 2189 | 2193 | 2191 | 2191 | 2156 | 2119 | 1952 | 1317 |
* p < 0.05, ** p < 0.01, *** p < 0.001
The EQ-5DIndex is a continuous variable between 0 and 1 (0 = worst state, 1 = best state). The 5 EQ-5D dimensions as shown in Model (2) to model (6) are order categorical variables (1 = no problems, 2 = some problems, 3 = extreme problems). Canadian Cardiovascular Society (CCS) Angina Grading Scale is an order categorical variable between 1 (angina only during strenuous or prolonged physical activity) and 4 (inability to perform any activity without angina). New York Heart Association (NYHA) Functional Classification is an order categorical variable between 1 (cardiac disease, but no symptoms and no limitation in ordinary physical activity) and 4 (severe limitations, experiences symptoms even while at rest). The current state of assistance is an order categorical variable with 1 (no external help or intra-familial help only), 2 (assisted living and/or home care services) and 3 (short or long-term care or temporal hospitalization). The group SAVRplus includes 17 patients that underwent additional bypass grafting and/or mitral valve replacement