Gender Differences and Mortality Trends After Transcatheter Aortic Valve Implantation: A 10-Year Analysis From a Single Tertiary Center
Why the study?
To evaluate gender differences and mortality trends after transcatheter aortic valve implantation and determine correlates of all-cause mortality during follow-up.
Does female gender affect mortality trends and outcomes in patients undergoing TAVI?
Population
592 TAVI patients (53.4% female)
Comparison
Female vs male patients
Design
Single tertiary center prospective cohort study
Authors
Discussion
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Member takes
Overview
Gender differences in post-TAVI mortality remain hypothesis-generating; larger prospective studies needed before influencing risk stratification.
Structured PICO
Does female gender affect mortality trends and outcomes in patients undergoing TAVI?
P
Population
592 TAVI patients (53.4% female), treated between 2008 and 2018. Males mean age 81 ± 7.5 years, females mean age 84.3 ± 5.3 years.
I
Intervention
Transcatheter aortic valve implantation (TAVI)
C
Comparator
Male vs Female patients
O
Outcome
All-cause mortality at 30 days, 1 year, and long-term follow-uphard clinical
Women undergoing TAVI have better long-term survival compared to men, despite presenting with higher baseline surgical risk scores and more periprocedural complications.
Cite This Study
Gonçalves et al. (2021) studied this question.