Table 3.
Cox-proportional hazards regression model showing the impact of aortic valve calcium score category (high vs. low) 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) | 1.29 (1.13, 1.49) | <0.001 | 1.51 (1.18, 1.92) | <0.001 | |
| Male | 1502 | 478 | 2.17 (0.90, 4.07) | 1.17 (0.98, 1.40) | 0.088 | 1.13 (0.92, 1.39) | 0.23 | |
| Female | 1041 | 323 | 2.51 (1.12, 4.33) | 1.50 (1.20, 1.87) | <0.001 | 1.58 (1.22, 2.06) | <0.001 | |
| 2010 - 2016 | ||||||||
| All | 956 | 549 | 4.68 (2.21, 5.89) | 1.32 (1.11, 1.56) | 0.001 | 1.42 (1.06, 1.91) | 0.018 | |
| Male | 551 | 321 | 4.66 (2.04, 5.81) | 1.24 (0.99, 1.54) | 0.060 | 1.12 (0.87, 1.43) | 0.37 | |
| Female | 405 | 228 | 4.77 (2.69, 5.96) | 1.44 (1.11, 1.88) | 0.007 | 1.67 (1.21, 2.30) | 0.002 | |
| 2017 - 2021 | ||||||||
| All | 1,587 | 252 | 1.69 (0.78, 2.84) | 1.21 (0.94, 1.55) | 0.13 | 1.69 (1.11, 2.59) | 0.016 | |
| Male | 951 | 157 | 1.60 (0.75, 2.75) | 1.04 (0.76, 1.42) | 0.82 | 1.26 (0.88, 1.81) | 0.21 | |
| Female | 636 | 95 | 1.80 (0.83, 2.94) | 1.53 (1.02, 2.30) | 0.040 | 1.51 (0.96, 2.39) | 0.073 | |
Median (Q1,Q3)
Crude/unadjusted hazard ratios estimated for aortic valve calcium score category (high vs. low)
Propensity score adjusted hazard ratios estimated for aortic valve calcium score category (high vs. low)
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