Aortic valve replacement rates in Australia from 2004 to 2019

Background Several surgical and percutaneous treatments are available for patients with aortic valve disease. Aim To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence. Methods Using the Australian Institute of Health and Welfare data, this study calcula...

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Bibliographic Details
Published in:Internal medicine journal 2023-04, Vol.53 (4), p.525-530
Main Authors: Bamford, Paul, Said, Christian, Al‐Omary, Mohammed S., Bhagwandeen, Rohan, Boyle, Andrew
Format: Article
Language:English
Subjects:
Aged
Aortic valve
Aortic Valve - surgery
aortic valve replacements
Aortic Valve Stenosis - surgery
Australia - epidemiology
balloon aortic valvuloplasty
Balloon treatment
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Male
Risk Factors
TAVI
Transcatheter Aortic Valve Replacement
Treatment Outcome
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Summary:Background Several surgical and percutaneous treatments are available for patients with aortic valve disease. Aim To establish whether trends in aortic valve replacements (AVR) in Australia reflect recent evidence. Methods Using the Australian Institute of Health and Welfare data, this study calculated all AVR and balloon aortic valvuloplasty (BAV) procedures conducted in all Australian hospitals from 2004 to 2019. Linear regression analysis was performed to determine whether age‐adjusted rates had changed over the study period. Results There were 80 883 AVR performed. Of these, 66% were men and 64% were aged >70 years. Absolute rates of AVR increased from 3631 to 7277 with a significant 22% age‐adjusted rise seen (1.9% increase per year (+0.26 per 100 000 per year; 95% confidence interval 0.19–0.34); P 80 years (+0.23 per 100 000 per year; P
ISSN:1444-0903
1445-5994
DOI:10.1111/imj.15624