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The Effect of Psychosocial Risk Factors on Outcomes After Aortic Valve Replacement by Paige Newell; Cheryl Zogg; Hugh Shirley; Jessica Feliz; Sameer Hirji; Morgan Harloff; Mariam Kerolos; Pinak Shah; Tsuyoshi Kaneko is a Medicine article available to read on EtoBox.

What is The Effect of Psychosocial Risk Factors on Outcomes After Aortic Valve Replacement about?

Background Psychosocial risk factors (PSRFs) have emerged as important nontraditional risk factors that are associated with worse surgical outcomes but have not been well-characterized in valvular disease. Objectives This study evaluates the impact of PSRFs on 30-day outcomes following surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). Methods All adult patients (≥18 years of age) who underwent isolated TAVR or SAVR in the Nationwide Readmissions Database from 2016 to 2018 were included. Patients were classified as having 0 PSRFs vs ≥1 PSRF. PSRFs included limited cognitive understanding, substance use, psychiatric disease, low socioeconomic status, or uninsured status. Primary outcomes included 30-day mortality, readmission, and composite morbidity (stroke, pulmonary embolus, pacemaker implantation, bleeding complications, acute kidney injury, myocardial infarction, or new atrial fibrillation). Results A nationally weighted total of 74,763 SAVR and 87,142 TAVR patients met inclusion criteria. For SAVR, patients with PSRFs had significantly higher 30-day mortality (4.2% vs 3.7%; P = 0.048) and readmissions (13.1% vs 11.3%; P < 0.001), but th

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Author

Paige Newell; Cheryl Zogg; Hugh Shirley; Jessica Feliz; Sameer Hirji; Morgan Harloff; Mariam Kerolos; Pinak Shah; Tsuyoshi Kaneko

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)