Table 3 APR-DRG score, comorbidities, and clinical conditions comparing patients living in neighborhoods of income at the lowest and highest quartiles who underwent isolated TAVR.

From: Socioeconomic disparity in transcatheter and surgical aortic valve replacement: a population study of National Inpatient Sample from 2015 to 2020

 

Low SES (n = 12,355), n (%)

High SES (n = 15,212), n (%)

p-value

APR-DRG risk of mortality subclass

 Class 1

1346 (10.89%)

1920 (12.62%)

 < 0.01

 Class 2

5616 (45.46%)

7120 (46.81%)

0.03

 Class 3

4269 (34.55%)

4927 (32.39%)

 < 0.01

 Class 4

1124 (9.1%)

1245 (8.18%)

0.01

Comorbidities

 Acquired immune deficiency syndrome

11 (0.09%)

22 (0.14%)

0.22

 Alcohol abuse

147 (1.19%)

194 (1.28%)

0.55

 Autoimmune conditions

537 (4.35%)

764 (5.02%)

0.01

 Lymphoma

100 (0.81%)

170 (1.12%)

0.01

 Leukemia

87 (0.7%)

153 (1.01%)

0.01

 Metastatic cancer

65 (0.53%)

123 (0.81%)

0.01

 Solid tumor without metastasis, in situ

2 (0.02%)

5 (0.03%)

0.47

 Solid tumor without metastasis, malignant

294 (2.38%)

464 (3.05%)

 < 0.01

 Cerebrovascular disease

295 (2.39%)

353 (2.32%)

0.72

 Heart Failure

10 (0.08%)

6 (0.04%)

0.21

 Dementia

531 (4.3%)

641 (4.21%)

0.74

 Depression

915 (7.41%)

1221 (8.03%)

0.06

 Diabetes without chronic complications

2156 (17.45%)

2213 (14.55%)

 < 0.01

 Diabetes with chronic complications

3012 (24.38%)

2924 (19.22%)

 < 0.01

 Drug abuse

50 (0.4%)

39 (0.26%)

0.03

 Complicated hypertension

8241 (66.7%)

9617 (63.22%)

 < 0.01

 Uncomplicated hypertension

2816 (22.79%)

3823 (25.13%)

 < 0.01

 Moderate to advanced liver disease

15 (0.12%)

32 (0.21%)

0.08

 Chronic pulmonary disease

3795 (30.72%)

3602 (23.68%)

 < 0.01

 Obesity

2763 (22.36%)

2617 (17.2%)

 < 0.01

 Paralysis

213 (1.72%)

217 (1.43%)

0.05

 Peripheral vascular disease

2776 (22.47%)

3253 (21.38%)

0.03

 Advanced renal failure

475 (3.84%)

470 (3.09%)

 < 0.01

 Hypothyroidism

2380 (19.26%)

3104 (20.4%)

0.02

 Other thyroid disorders

133 (1.08%)

238 (1.56%)

 < 0.01

 Coronary artery disease

8551 (69.21%)

10,161 (66.8%)

 < 0.01

 Left ventricle dysfunction

28 (0.23%)

39 (0.26%)

0.71

 Pulmonary hypertension

2084 (16.87%)

2334 (15.34%)

 < 0.01

 Endocarditis

29 (0.23%)

39 (0.26%)

0.81

 Atrial fibrillation

4447 (35.99%)

5861 (38.53%)

 < 0.01

 Atrial flutter

409 (3.31%)

553 (3.64%)

0.15

 Ventricular fibrillation

80 (0.65%)

77 (0.51%)

0.13

 Ventricular flutter

2 (0.02%)

1 (0.01%)

0.59

 Sick sinus syndrome

351 (2.84%)

446 (2.93%)

0.66

 First-degree atrioventricular block

633 (5.12%)

1049 (6.9%)

 < 0.01

 Second-degree atrioventricular block

145 (1.17%)

227 (1.49%)

0.02

 Complete atrioventricular block

1017 (8.23%)

1449 (9.53%)

 < 0.01

 Carotid artery disease

13 (0.11%)

14 (0.09%)

0.85

 Hyperlipidemia

8801 (71.23%)

11,356 (74.65%)

 < 0.01

 Anemia

845 (6.84%)

878 (5.77%)

 < 0.01

 Thrombocytopenia

1161 (9.4%)

1574 (10.35%)

0.01

 Sleep apnea

2059 (16.67%)

2421 (15.92%)

0.09

 Tobacco use

4977 (40.28%)

6098 (40.09%)

0.75

 Previous MI

1595 (12.91%)

1723 (11.33%)

 < 0.01

 Previous CVA

2640 (21.37%)

3368 (22.14%)

0.12

 Previous CABG

2023 (16.37%)

2228 (14.65%)

 < 0.01

 Previous PCI

1490 (12.06%)

1750 (11.5%)

0.16

 Previous valve replacement

397 (3.21%)

463 (3.04%)

0.42

  1. APR-DRG All patients refined diagnosis related groups, CABG coronary artery bypass grafting, CVA cerebrovascular accident, MI myocardial infarction, PCI percutaneous coronary intervention, SES socioeconomic status, TAVR transcatheter aortic valve replacement.