Racial and socioeconomic disparities in urgent transcatheter mitral valve repair: A National Inpatient Sample analysis

2021 ◽  
Author(s):  
Alexander M. Spring ◽  
Michael A. Catalano ◽  
Bruce Rutkin ◽  
Alan Hartman ◽  
Pey‐Jen Yu
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Socioeconomic Disparities ◽  
National Inpatient Sample ◽  
Sample Analysis ◽  
Valve Repair ◽  
Transcatheter Mitral Valve Repair

Abstract 15935: Socioeconomic Disparities in Urgent versus Elective Transcatheter Mitral Valve Repair: Insights From the National Inpatient Sample

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Alexander M Spring ◽  
Michael A Catalano ◽  
Bruce J Rutkin ◽  
Alan R Hartman ◽  
Pey-Jen Yu
Keyword(s):  
Mitral Valve ◽  
Length Of Stay ◽  
Mitral Valve Repair ◽  
Low Income ◽  
Multivariable Analysis ◽  
Socioeconomic Disparities ◽  
National Database ◽  
National Inpatient Sample ◽  
Valve Repair ◽  
Prolonged Length

Objective: Cardiac interventions performed urgently are known to be associated with poor outcomes compared to electively performed procedures. Transcatheter edge-to-edge mitral valve repair (TMVr) has developed as a reasonable alternative to mitral valve surgery in certain patient populations. We aimed to leverage a national database to identify predictors of urgent versus elective TMVr, as well as the association between urgency and outcomes. Methods: The National Inpatient Sample (NIS) was queried to identify weighted hospital discharge records of patients who underwent TMVr from 2016 - 2017. Hospitalizations are identified within the database as elective versus non-elective. Univariate and multivariable analyses were performed to identify patient characteristics associated with urgent procedures. In-hospital outcomes were assessed. Results: There were 10,195 cases of TMVr in this cohort, 24.2% of which were performed urgently. In multivariable analysis, Hispanic race, Medicaid insurance, and low income were associated with increased likelihood of urgent hospital admission and TMVr. Additionally, small hospital size and Northeast region were associated with increased likelihood of urgent admission and procedure. Older patients were more likely to undergo elective procedures (Table 1). Urgent TMVr was associated with increased mortality (4.5% vs. 1.6%, p < .001), prolonged length of stay (6.0 vs. 2.0, p < .001), and increased cost ($267,292 vs. $167,889, p < .001). Conclusion: Socioeconomic disparities exist in the utilization of TMVr as an urgent versus elective procedure, suggesting differences in access to surveillance and preventive care. Urgent TMVr is associated with increased morbidity and mortality, prolonged length of stay, and increased hospital costs. Priority should be placed on mitigating such disparities to improve outcomes.

scholarly journals OUTCOMES OF TRANSCATHETER MITRAL VALVE REPAIR IN THE ELDERLY: ANALYSIS OF THE NATIONAL INPATIENT SAMPLE DATABASE

2020 ◽  
Vol 75 (11) ◽  
pp. 1314
Author(s):  
Ahmed Al-Ogaili ◽  
Ahmed Kolkailah ◽  
Hitesh Chawla ◽  
Nawaf Al-Hashemi ◽  
Ali Ayoub
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
The Elderly ◽  
National Inpatient Sample ◽  
Valve Repair ◽  
Transcatheter Mitral Valve Repair

EFFECT OF HOSPITAL VOLUME ON TRANSCATHETER MITRAL VALVE REPAIR (TMVR) OUTCOMES: A NATIONWIDE INPATIENT SAMPLE ANALYSIS

2018 ◽  
Vol 71 (11) ◽  
pp. A1255
Author(s):  
Nikhil Nalluri ◽  
Varun Kumar ◽  
Varunsiri Atti ◽  
Shilpkumar Arora ◽  
Nileshkumar Patel ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Hospital Volume ◽  
Nationwide Inpatient Sample ◽  
Sample Analysis ◽  
Valve Repair ◽  
Transcatheter Mitral Valve Repair
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