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. Author manuscript; available in PMC: 2020 Feb 25.
Published in final edited form as: JACC Cardiovasc Interv. 2019 Feb 25;12(4):362–369. doi: 10.1016/j.jcin.2018.11.008

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