Disparity among Asian Americans in transcatheter and surgical aortic valve replacement

Racial disparities in transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) outcomes have been established, but research has predominantly focused on African Americans and Hispanics, leaving a gap in Asian Americans. This study aimed to investigate disparities in...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2024-02, Vol.59, p.84-90
Main Authors: Li, Renxi, Luo, Qianyun, Yanavitski, Marat, Huddleston, Stephen J.
Format: Article
Language:English
Subjects:
Asian Americans
Surgical aortic valve replacement
Transcatheter aortic valve replacement
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Summary:Racial disparities in transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) outcomes have been established, but research has predominantly focused on African Americans and Hispanics, leaving a gap in Asian Americans. This study aimed to investigate disparities in aortic valve replacement outcomes among Asian Americans. Patients who underwent SAVR and TAVR were identified in National Inpatient Sample from the last quarter of 2015–2020. A 1:2 propensity score matching was applied to Asian Americans and Caucasians. In-hospital perioperative outcomes, length of stay, days from admission to operation, and total hospital charge, were compared. In TAVR, 51,394 (84.41 %) were Caucasians and 795 (1.31 %) were Asian Americans. In SAVR, there were 50,080 (78.52 %) Caucasians and 1233 (1.93 %) Asian Americans. No significant difference was found in post-TAVR complications. However, Asian Americans experienced longer waiting time until operation (p = 0.03) and higher costs (p 
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2023.08.016