Predictors of Mortality in Patients With Transcatheter Aortic Valve Implantation: A National Inpatient Sample Database Analysis

Arslan Inayat; Sakina Abbas; Fnu Salman

doi:10.7759/cureus.14344

Predictors of Mortality in Patients With Transcatheter Aortic Valve Implantation: A National Inpatient Sample Database Analysis

Cureus. 2021 Apr 7;13(4):e14344. doi: 10.7759/cureus.14344.

Authors

Arslan Inayat¹, Sakina Abbas², Fnu Salman³

Affiliations

¹ Internal Medicine, University at Buffalo, Catholic Health System, Buffalo, USA.
² Medicine, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PAK.
³ Medicine, Mercy Health St. Vincent Medical Center, Toledo, USA.

Abstract

Introduction In recent decades, transcatheter aortic valve implantation (TAVI) has become a treatment of choice for aortic stenosis. The purpose of this study was to evaluate predictors of mortality in patients undergoing TAVI. Methods The National Inpatient Sample database from the year 2011 to 2018 was used to identify all patients undergoing TAVI during the study period. Results A total of 215,983 weighted hospitalizations for TAVI were included in the analysis. We report the following three main findings from our contemporary analysis of the NIS: (1) despite TAVI patients having a high comorbidity burden, mortality remains low at 2.2%, (2) in terms of baseline characteristics, end-stage renal disease, liver disease, congestive heart failure, chronic obstructive pulmonary disease, atrial fibrillation, and lung cancer remain significant predictors of mortality in patients undergoing TAVI, and (3) length of stay and cost of stay are significantly higher in patients who died during the hospitalization. Conclusion In conclusion, we report that at baseline, end-stage renal disease, liver disease, atrial fibrillation, and lung cancer are significant predictors of mortality in patients undergoing TAVI.

Keywords: aortic stenosis; tavi; tavr; transcatheter aortic valve implantation; transcatheter aortic valve replacement.