African Americans have worse outcomes after transcatheter and surgical aortic valve replacement: A national inpatient sample analysis from 2015 to 2020

• Published in: Journal of cardiology 2024-08, Vol.84 (2), p.105-112
• Main Authors: Li, Renxi, Luo, Qianyun, Huddleston, Stephen J.
• Format: Article
• Language: English
• Subjects: African Americans; Disparity; Surgical aortic valve replacement; Transcatheter aortic valve replacement
• ISSN: 0914-5087; 1876-4738
• DOI: 10.1016/j.jjcc.2024.02.003

Racial disparities in transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) are controversial among African Americans (AA). This study investigated racial disparities comparing AA and Caucasians undergoing aortic valve replacement. Patients who underwent SAVR and TAVR for aortic stenosis were identified in National Inpatient Sample from Q4 2015–2020. In-hospital perioperative outcomes, length of stay, days from admission to operation, and total hospital charge, were compared between AA and Caucasians using multivariable analysis, adjusting for sex, age, socioeconomic status, comorbidity, and hospital characteristics. In TAVR, 51,394 (84.41 %) were Caucasians and 2433 (4.00 %) were AA. In SAVR, there were 50,080 (78.52 %) Caucasians and 3565 (5.59 %) AA. Compared to Caucasians, AA underwent TAVR had a higher risk of complications such as major adverse cardiovascular events (MACE) [adjusted odds ratio (aOR) = 1.335, p = 0.02)], respiratory complications (aOR = 1.363, p = 0.01), acute kidney injury (AKI) (aOR = 1.468, p