Table 4.
Association of Short-Term Complications with Outcomes
Complications in 30-days after TAVR | 1-year mortality | 1-year KCCQ-OS | ||
---|---|---|---|---|
Adjusted HR (95% CI) | p-value | Adjusted Estimate (95% CI) | p-value | |
Major stroke | 5.38 (3.05 to 9.50) | <0.001 | −15.1 (−24.8 to −5.3) | 0.003 |
Minor stroke | 0.57 (0.14 to 2.29) | 0.425 | −2.4 (−8.3 to 3.6) | 0.432 |
Life-threatening bleed | 1.60 (1.03 to 2.49) | 0.038 | −3.4 (−6.9 to 0.0) | 0.050 |
Major bleed | 1.46 (1.08 to 1.97) | 0.013 | −1.9 (−4.1 to 0.2) | 0.079 |
Major vascular event | 0.77 (0.46 to 1.27) | 0.302 | 0.3 (−3.0 to 3.6) | 0.850 |
New pacemaker | 0.99 (0.65 to 1.49) | 0.948 | 0.3 (−2.4 to 2.9) | 0.844 |
Acute kidney injury stage 3 | 4.92 (2.74 to 8.84) | <0.001 | −14.7 (−25.6 to −3.8) | 0.008 |
Moderate/severe paravalvular leak | 1.88 (1.29 to 2.73) | 0.001 | −2.9 (−5.9 to 0.0) | 0.053 |
Mild paravalvular leak | 1.26 (0.96 to 1.65) | 0.091 | −2.1 (−3.8 to −0.5) | 0.010 |
TAVR, transcatheter aortic valve replacement; KCCQ-OS, Kansas City Cardiomyopathy Questionnaire-Overall Summary score
All models included all complications and also adjusted for age, sex, prior CABG, peripheral vascular disease, diabetes, STS mortality risk score, non-transfemoral access, and baseline KCCQ-OS score
Negative KCCQ-OS estimates indicate that patients with these events had worse health status at 1 year. A 5-point change in KCCQ-OS is considered clinically significant