Table 7 In-hospital outcomes comparing patients living in neighborhoods of income at the lowest and highest quartiles who underwent isolated SAVR.

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

 

Low SES (n = 10,029), n (%)

High SES (n = 10,811), n (%)

aOR for low/high SES (95% CI)

p-value

Mortality

385 (3.84%)

254 (2.35%)

1.44 (1.22–1.71)

 < 0.01

MACE

446 (4.45%)

454 (4.2%)

1.00 (0.87–1.15)

0.99

MI

229 (2.28%)

187 (1.73%)

1.15 (0.93–1.42)

0.19

Stroke

108 (1.08%)

114 (1.05%)

0.97 (0.73–1.27)

0.80

TIA

18 (0.18%)

25 (0.23%)

0.88 (0.48–1.62)

0.68

Neurological complications

133 (1.33%)

145 (1.34%)

0.93 (0.73–1.19)

0.59

Pericardial complications

330 (3.29%)

377 (3.49%)

0.80 (0.69–0.94)

0.01

Pacemaker implantation

613 (6.11%)

670 (6.2%)

0.99 (0.85–1.16)

0.90

Cardiogenic shock

756 (7.54%)

645 (5.97%)

1.11 (0.98–1.24)

0.09

Respiratory complications

1311 (13.07%)

1216 (11.25%)

1.13 (1.03–1.23)

0.01

Mechanical ventilation

1263 (12.59%)

960 (8.88%)

1.23 (1.11–1.35)

 < 0.01

AKI

2313 (23.06%)

1990 (18.41%)

1.14 (1.06–1.23)

 < 0.01

Post-procedural renal failure

69 (0.69%)

88 (0.81%)

0.89 (0.64–1.22)

0.46

VTE

91 (0.91%)

79 (0.73%)

1.10 (0.80–1.50)

0.56

PE

4 (0.04%)

6 (0.06%)

0.61 (0.16–2.26)

0.46

Hemorrhage/hematoma

6029 (60.12%)

6915 (63.96%)

0.85 (0.80–0.90)

 < 0.01

Infection

785 (7.83%)

740 (6.84%)

1.05 (0.94–1.19)

0.38

Sepsis

11 (0.11%)

5 (0.05%)

2.46 (0.85–7.13)

0.10

Deep wound complication

41 (0.41%)

49 (0.45%)

0.79 (0.52–1.21)

0.28

Superficial wound complication

53 (0.53%)

66 (0.61%)

0.69 (0.47–1.01)

0.06

Vascular complication

170 (1.7%)

174 (1.61%)

0.99 (0.80–1.24)

0.95

Diaphragmatic paralysis

12 (0.12%)

19 (0.18%)

0.73 (0.35–1.50)

0.39

Reopen surgery

146 (1.46%)

143 (1.32%)

1.19 (0.94–1.51)

0.16

Transfer out

2252 (22.45%)

1832 (16.95%)

1.19 (1.09–1.29)

 < 0.01

 

Mean ± SE

Mean ± SE

F score

p-value

Admission to operation (days)

2.22 ± 0.05

1.42 ± 0.05

8.58

0.01

LOS (days)

11.37 ± 0.12

9.39 ± 0.09

24.90

 < 0.01

Total hospital charge (US dollars)

275,909 ± 2,731

276,058 ± 2942

23.46

 < 0.01

  1. AKI acute kidney injury, aOR adjusted odds ratio, CI confidence interval, LOS length of stay, MACE major adverse cardiovascular event, MI myocardial infarction, NA not applicable, PE pulmonary embolism, SES socioeconomic status, SAVR surgical aortic valve replacement, TIA transient ischemic attack, VTE venous thromboembolism.