Table 1:
Patient Characteristics and Procedural Risk of those undergoing TAVR among 50 Programs in Washington and California States by Designated Code Status Practice in 2018
| PATIENT CHARACTERISTIC | CODE STATUS PRACTICE1 | |||||
|---|---|---|---|---|---|---|
| Remain DNR (n=1019) | Temporarily Rescind and Reinstate DNR | No consistent practice/ only full code(n=321) | Total (N=4943) | |||
| within 48 hours of TAVR (n=1148) | 48 hours - hospital discharge (n=1672) | after 30 days post TAVR (n=783) | ||||
| Age in years (mean, SD) | 80.0 (9.3) | 80.5 (8.9) | 81.0 (9.0) | 78.9 (9.4) | 82.1 (8.5) | 80.4 (9.1) |
| Male (n, %) | 605 (59.4) | 597 (52.0) | 924 (55.3) | 407 (52.0) | 179 (55.8) | 2712 (54.9) |
| White, non-Hispanic (n, %) | 841 (82.5) | 891 (77.6) | 1303 (77.9) | 719 (91.8) | 261 (81.3) | 4015 (81.2) |
| Medicare (n, %) | 887 (87.0) | 878 (76.5) | 1482 (88.6) | 688 (87.9) | 257 (80.1) | 4192 (84.8) |
| Comorbid Conditions (n, %) | ||||||
| Diabetes | 352 (34.5) | 437 (38.1) | 632 (37.8) | 318 (40.6) | 107 (33.3) | 1846 (37.3) |
| Currently on Dialysis | 53 (5.2) | 54 (4.7) | 84 (5.0) | 30 (3.8) | 15 (4.7) | 236 (4.8) |
| Home Oxygen | 46 (4.5) | 73 (6.4) | 101 (6.0) | 51 (6.5) | 16 (5.0) | 287 (5.8) |
| Prior Stroke or TIA | 153 (15.0) | 204 (17.8) | 296 (17.7) | 130 (16.6) | 52 (16.2) | 835 (16.9) |
| Prior CABG | 162 (15.9) | 150 (13.1) | 261 (15.6) | 125 (16.0) | 45 (14.0 | 743 (15.0) |
| Prior ICD | 23 (2.3) | 34 (3.0) | 45 (2.7) | 30 (3.8) | 11 (3.4) | 143 (2.9) |
| Prior Permanent Pacemaker | 143 (14.0) | 129 (11.2) | 221 (13.2) | 88 (11.2) | 53 (16.5 | 634 (12.8) |
| Hostile Chest | 30 (2.9) | 31 (2.7) | 129 (7.7) | 47 (6.0) | 12 (3.7) | 249 (5.0) |
| Pre-Procedure Risk Status | ||||||
| STS-PROM score, % (mean, SD) | 6.1 (5.3) | 6.4 (5.0) | 6.8 (5.9) | 6.1 (4.8) | 6.4 (5.2) | 6.4 (5.4) |
| KCCQ-12 Score (mean, SD)2 | 45.5 (25.9) | 44.2 (25.5) | 50.6 (24.3) | 48.7 (23.6) | 45.8 (26.1) | 47.5 (25.1) |
| 5 Meter Walk Test in sec (mean, SD) | 7.2 (2.4) | 8.3 (4.3) | 8.1 (4.1) | 7.1 (3.3) | 9.5 (23.6) | 7.9 (6.9) |
| Unable to walk3 (n, %) | 216 (21.2) | 205 (17.9) | 211 (12.6) | 100 (12.8) | 33 (10.3) | 765 (15.5) |
| Heart Failure within 2 weeks4 (n, %) | 906 (88.9) | 846 (73.7) | 1362 (81.5) | 650 (83.0) | 203 (63.2) | 3967 (80.3) |
| NYHA Class IV (n, %) | 133 (13.1) | 129 (11.2) | 180 (10.8) | 116 (14.8) | 24 (7.5) | 582 (11.8) |
| Other Cardiac Procedure within 30 days | 45 (4.4) | 196 (17.1) | 173 (10.3) | 96 (12.3) | 24 (7.5) | 534 (10.8) |
| Porcelain Aorta (n, %) | 15 (1.5) | 60 (5.2) | 49 (2.9) | 77 (9.8) | 4 (1.2) | 205 (4.1) |
| Procedural Acuity (n, %) | ||||||
| Non-Elective Status | 149 (14.6) | 121 (10.5) | 191 (11.4) | 107 (13.7) | 22 (6.9) | 590 (11.9) |
| Cardiac Arrest within 24 hours prior | 1 (0.1) | 6 (0.5) | 4 (0.2) | 3 (0.4) | 0 (0.0) | 14 (0.3) |
1
For patients with >1 TAVR in 2018, the first TAVR was used. All denominators include missing (<0.5% of total) unless otherwise specified.
2
For KCCQ-12 Score, N=936, 1077, 1635, 619 for columns B-E, respectively.
3
Among those who tried to complete a 5 Meter Walk Test
4
There is physician documentation or report that the patient has been in a state of heart failure within the past 2 weeks.