Table 2.
Cox-proportional hazards regression model showing the impact of aortic valve calcium score on long-term mortality (for the entire cohort, stratified by sex and year of TAVR procedure)
| TAVR year | Patients | N | Deaths | Follow-Up (Years) * | cHR (95% CI) † | P-value | aHR (95% CI) ‡ | P-value |
|---|---|---|---|---|---|---|---|---|
| All Patients (2010 – 2021) | ||||||||
| All | 2543 | 801 | 2.30 (0.99, 4.17) | 1.04 (1.02, 1.06) | <0.001 | 1.06 (1.02, 1.11) | 0.004 | |
| Male | 1502 | 478 | 2.17 (0.90, 4.07) | 1.03 (1.00, 1.06) | 0.090 | 1.02 (0.99, 1.06) | 0.24 | |
| Female | 1041 | 323 | 2.51 (1.12, 4.33) | 1.07 (1.02, 1.11) | 0.002 | 1.07 (1.02, 1.12) | 0.004 | |
| 2010 - 2016 | ||||||||
| All | 956 | 549 | 4.68 (2.21, 5.89) | 1.04 (1.01, 1.07) | 0.004 | 1.04 (0.99, 1.10) | 0.14 | |
| Male | 551 | 321 | 4.66 (2.04, 5.81) | 1.03 (1.00, 1.07) | 0.059 | 1.02 (0.98, 1.06) | 0.37 | |
| Female | 405 | 228 | 4.77 (2.69, 5.96) | 1.05 (1.00, 1.10) | 0.049 | 1.07 (1.01, 1.13) | 0.030 | |
| 2017 - 2021 | ||||||||
| All | 1,587 | 252 | 1.69 (0.78, 2.84) | 1.04 (1.00, 1.08) | 0.081 | 1.10 (1.03, 1.17) | 0.006 | |
| Male | 951 | 157 | 1.60 (0.75, 2.75) | 1.00 (0.95, 1.06) | 0.93 | 1.04 (0.97, 1.10) | 0.29 | |
| Female | 636 | 95 | 1.80 (0.83, 2.94) | 1.08 (1.01, 1.16) | 0.018 | 1.08 (1.01, 1.16) | 0.034 |
Median (Q1, Q3)
Crude/unadjusted hazard ratios estimated for a 500-unit increase in aortic valve calcium score
Propensity score adjusted hazard ratios estimated for a 500-unit increase in aortic valve calcium score
Propensity score included age, pre-TAVR peak aortic valve velocity, pre-TAVR calculated valve area, pre-TAVR stroke volume index, pre-TAVR LVEF, pacemaker implantation, LBBB, Charlson comorbidity index, STS predicted risk of surgical mortality, TAVR access type, valve type, procedure site and post-TAVR peri-valvular leak.
LBBB – Left bundle branch block; LVEF – Left ventricular ejection fraction; TAVR – Transcatheter aortic valve replacement; STS – Society for thoracic surgeons