Comparison of Hospital Outcome of Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Diabetes Mellitus (From the Nationwide Inpatient Sample)

• Published in: The American journal of cardiology 2017-04, Vol.119 (8), p.1250-1254
• Main Authors: Ando, Tomo, MD, Akintoye, Emmanuel, MD, MPH, Telila, Tesfaye, MD, Briasoulis, Alexandros, MD, PhD, Takagi, Hisato, MD, PhD, Slovut, David Paul, MD, PhD, Schreiber, Theodore, MD, Grines, Cindy, MD, Afonso, Luis, MD
• Format: Article
• Language: English
• Subjects: Accounting; Acute Kidney Injury - epidemiology; Age; Aged; Aged, 80 and over; Aortic valve; Bleeding; Blood Transfusion - statistics & numerical data; Cardiovascular; Classification; Clinical outcomes; Complications; Confidence intervals; Continuity (mathematics); Data acquisition; Data collection; Databases, Factual; Demographics; Demography; Diabetes; Diabetes mellitus; Diabetes Mellitus - epidemiology; Diagnosis; Diagnosis related groups; DRGs; Embolism; Embolisms; Estimates; Extracorporeal Membrane Oxygenation - statistics & numerical data; Female; Government programs; Health care; Heart; Heart diseases; Heart Valve Prosthesis Implantation - economics; Heart Valve Prosthesis Implantation - statistics & numerical data; Hospital Costs; Hospital Mortality; Hospitals; Humans; Indicators; Inflammation; Information processing; Injuries; Insertion; Internet; Intervention; Kidneys; Length of Stay - statistics & numerical data; Male; Mathematical models; Medical instruments; Moon; Mortality; Multivariate analysis; Myocardial infarction; Myocardial Infarction - epidemiology; Oxygenation; Pacemaker, Artificial - statistics & numerical data; Patient safety; Postoperative Complications - epidemiology; Risk factors; Safety; Sampling; Sepsis; Sepsis - epidemiology; Statistical tests; Surgery; Thromboembolism; Thrombosis; Transcatheter Aortic Valve Replacement - economics; Transcatheter Aortic Valve Replacement - statistics & numerical data; Transfusion; United States - epidemiology
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2016.12.026

The comparative outcomes of transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR) in diabetes mellitus (DM) patients are scarce. We aimed to assess and compare the outcomes of TAVR versus SAVR in DM patients using the nationwide inpatient sample (NIS) database from 2011 to 2013. A complete case analysis was performed for the multivariate analysis and excluded cases with missing data. The primary endpoint was in-patient all-cause mortality and secondary outcomes were perioperative complications. An estimated 5,719 TAVR procedures and 65,096 SAVR procedures were performed among DM patients in the U.S between 2011 and 2013. TAVR patients were older (80±8.1 vs 70±10, p