Table 4.
Cox-proportional hazards regression model showing the impact of aortic valve calcium score density on long-term mortality (for the entire cohort, stratified by sex and year of TAVR procedure)
| TAVR year | All patients | N | Deaths | Follow-Up (Years) * | cHR (95% CI) † | P-value | aHR (95% CI) ‡ | P-value |
|---|---|---|---|---|---|---|---|---|
| All Patients (2010 – 2021) | ||||||||
| Overall | 2400 | 689 | 2.25 (0.97, 4.06) | 1.05 (1.02, 1.07) | 0.001 | 1.06 (1.01, 1.11) | 0.009 | |
| Male | 1419 | 413 | 2.15 (0.92, 4.02) | 1.03 (0.99, 1.07) | 0.099 | 1.03 (0.99, 1.08) | 0.17 | |
| Female | 981 | 276 | 2.44 (1.10, 4.11) | 1.06 (1.02, 1.10) | 0.006 | 1.06 (1.01, 1.11) | 0.011 | |
| 2010 - 2016 | ||||||||
| Overall | 823 | 440 | 4.78 (2.39, 5.83) | 1.05 (1.02, 1.09) | 0.003 | 1.04 (0.98, 1.11) | 0.16 | |
| Male | 475 | 258 | 4.79 (2.20, 5.76) | 1.06 (1.01, 1.10) | 0.015 | 1.04 (0.99, 1.10) | 0.12 | |
| Female | 348 | 182 | 4.78 (2.71, 5.89) | 1.05 (0.99, 1.11) | 0.095 | 1.07 (1.00, 1.14) | 0.055 | |
| 2017 - 2021 | ||||||||
| Overall | 1577 | 249 | 1.69 (0.79, 2.84) | 1.03 (0.98, 1.08) | 0.27 | 1.08 (1.01, 1.15) | 0.017 | |
| Male | 944 | 155 | 1.62 (0.75, 2.76) | 0.98 (0.91, 1.05) | 0.51 | 1.01 (0.93, 1.09) | 0.90 | |
| Female | 633 | 94 | 1.80 (0.83, 2.94) | 1.07 (1.01, 1.14) | 0.034 | 1.07 (1.00, 1.14) | 0.060 | |
Median (Q1,Q3)
Crude/unadjusted hazard ratios estimated for a 100-unit increase in aortic valve calcium score density
Propensity score adjusted hazard ratios estimated for a 100-unit increase in aortic valve calcium score density
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