Table 2.
Crude Incidence of In‐Hospital Complications, LOS, and Discharge Disposition in Hospitalizations of Octogenarians Undergoing Aortic Valve Replacement, Stratified by Procedure Type
| TAVR 19 145 (66%) | SAVR 9815 (34%) | OR (95% CI) | P Value | |
|---|---|---|---|---|
| In‐hospital complications, n (%) | ||||
| Permanent pacemaker implantation | 2060 (11) | 615 (6) | 1.80 (1.46, 2.23) | <0.0001a |
| Transient ischemic attack/stroke | 560 (3) | 305 (3) | 0.94 (0.67, 1.31) | 0.71 |
| Cardiogenic shock | 330 (2) | 270 (3) | 0.62 (0.44, 0.88) | 0.007a |
| Cardiac arrest | 505 (3) | 200 (2) | 1.30 (0.91, 1.86) | 0.14 |
| Acute kidney injury | 2580 (13) | 1655 (17) | 0.77 (0.66, 0.89) | 0.0006a |
| Any bleeding | 6410 (33) | 5045 (51) | 0.48 (0.42, 0.54) | <0.0001a |
| Blood transfusion | 3410 (18) | 3765 (38) | 0.35 (0.30, 0.40) | <0.0001a |
| Vascular complications | 995 (5) | 375 (4) | 1.38 (1.05, 1.82) | 0.02a |
| Discharge disposition, n (%) | ||||
| Routine | 13 220 (69) | 5115 (52) | 2.05 (1.81, 2.32) | <0.0001a |
| Transfer, short term hospital | 115 (1) | 105 (1) | 0.56 (034, 0.93) | <0.0001a |
| Transfer, skilled nursing facility | 5310 (28) | 4385 (45) | 0.48 (0.42, 0.54) | <0.0001a |
| Death | 500 (3) | 210 (2) | 1.23 (0.86, 1.76) | 0.26 |
| TAVR 19 145 (66%) | SAVR 9815 (34%) | CIE (95% CI) | P Value | |
|---|---|---|---|---|
| LOS after AVR, days, median (IQR) | 3.8 (2.3–5.9) | 6.2 (4.8–8.3) | −2.83 (−3.14, −2.52) | <0.0001a |
AVR indicates aortic valve replacement; CIE, change in estimate; IQR, interquartile range; LOS, length of stay; OR, odds ratio; SAVR, surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement.
a
Statistical significance.