Table 1.
Characteristics | Overall | SAVR ( % or mean, SD) | TAVR (n, % or mean, SD) | p-value |
---|---|---|---|---|
N = 44,103 | n = 38,540, 84.6% | n = 5,563, 15.4% | ||
Patient-level | ||||
Age (years) | 71.0, 13.7 | 69.1, 13.5 | 81.6, 9.3 | <0.01 |
Female Sex | 37.2 | 35.5 | 46.2 | <0.01 |
Non-white race | 13.0 | 13.5 | 9.9 | <0.01 |
Elective Case | 72.7 | 71.3 | 80.1 | <0.01 |
Admitted from Home | 54.3 | 54.1 | 55.2 | <0.01 |
Elixhauser Comorbidities, # | 4.04, 2.01 | 3.92, 2.0 | 4.73, 1.95 | <0.01 |
Paralysis | 1.72 | 1.64 | 2.21 | <0.01 |
Chronic Lung Disease | 23.8 | 21.7 | 35.2 | <0.01 |
Coagulopathy | 30.6 | 31.8 | 24.2 | <0.01 |
CHF | 39.0 | 33.3 | 70.6 | <0.01 |
Deficiency Anemia | 20.9 | 20.1 | 25.3 | <0.01 |
Depression | 7.2 | 7.3 | 7.1 | 0.71 |
Diabetes Mellitus | 30.3 | 29.8 | 33.7 | <0.01 |
Fluid and Electrolyte Disorders | 35.0 | 36.3 | 27.8 | <0.01 |
Hypertension | 75.3 | 74.5 | 80.1 | <0.01 |
Hypothyroidism | 14.4 | 13.2 | 20.8 | <0.01 |
Neurological Disorders (other than paralysis) | 5.16 | 4.91 | 6.58 | <0.01 |
Obesity | 18.7 | 19.6 | 13.5 | <0.01 |
Peripheral Vascular Disease | 22.3 | 20.4 | 32.9 | <0.01 |
Pulmonary circulatory disease | 15.5 | 14.1 | 22.8 | <0.01 |
Renal failure | 18.3 | 15.6 | 33.2 | <0.01 |
Valvular disease | 26.4 | 28.3 | 16.1 | <0.01 |
Hospital-level | ||||
Teaching hospital | <0.01 | |||
Major teaching hospital | 35.3 | 39.1 | 13.4 | |
Minor teaching hospital | 26.1 | 24.5 | 35.0 | |
Non-teaching hospital | 38.6 | 36.4 | 51.0 | |
Member of Health System | 73.7 | 73.6 | 74.4 | 0.20 |
Urban Setting | 99.6 | 99.6 | 99.9 | <0.01 |
Ownership status | <0.01 | |||
Public | 9.55 | 8.58 | 14.9 | |
Not-for-profit | 77.3 | 77.1 | 78.4 | |
For-profit | 13.1 | 14.3 | 6.72 | |
Bed count < 300 | 23.27 | 25.6 | 10.4 | <0.01 |
Safety Net Hospital | 28.0 | 24.9 | 44.9 | <0.01 |
HHI | ||||
75% variable radius (continuous) | 0.306 (0.266) | 0.323 (0.272) | 0.215 (0.207) | <0.01 |
75% variable radius (categorical) | <0.01 | |||
High Competition | 36.0 | 32.6 | 54.8 | |
Moderate Competition | 16.9 | 17.8 | 12.1 | |
Low Competition | 46.9 | 49.4 | 33.1 | |
Clinical Outcomes | ||||
In-hospital mortality | 3.29 | 3.09 | 4.39 | <0.01 |
Length of stay | 9.73 | 10.0 | 8.02 | <0.01 |
Discharge to home | 27.5 | 27.3 | 28.5 | <0.01 |