Social deprivation was not associated with adverse mortality following TAVI, but more deprived patients had a significantly longer hospital stay (29.6 vs 21.3 days, p<0.05).
Observational (n=387)
No
Does social deprivation influence mortality and length of stay in patients with severe aortic stenosis undergoing TAVI?
Social deprivation is associated with longer hospital stays but does not adversely impact short- or long-term mortality following TAVI.
Objectives: We sought to evaluate whether socioeconomic status influences outcome after first-time transcatheter aortic valve implantation (TAVI). Method: This is a single-centre study carried out in Swansea, South West Wales, UK between 5 November 2009 and 10 June 2018. Data included age, gender, domiciliary postal code, comorbidities, complications post-TAVI, length of stay, follow-up time and survival status. The Welsh Index of Multiple Deprivation, 2014 was used to stratify cases by level of social deprivation according to domiciliary postal codes. Results: Study population was 387 patients of whom 213 (54.8%) were men with mean age ±SD of 82.8±8.3 years. Patients, who were less deprived (296 (76.4%)), were more likely to be older (83.5±7.9 vs 80.4±9.3, p<0.05) and to be married (83.2% vs 69.7%, p<0.05). Conversely, 'more deprived' patients (91 (23.6%)) were more likely to have a longer stay in hospital as compared with patients in the 'less deprived group' (29.6±32.7 days vs 21.3±21.1 days, p<0.05). However, 30-day, 1-year and 3-year survival/mortality rates were similar across all socioeconomic levels. Conclusions: This is the first study in which social deprivation has been investigated as a risk factor for mortality in a high-risk group of patients with severe aortic stenosis undergoing TAVI. Residing in a 'more deprived' area in South West Wales is not associated with adverse outcome following TAVI but patients who are 'more deprived' tend to stay longer in hospital compared with patients who are 'less deprived'.
Mohee et al. (Sun,) conducted a observational in severe aortic stenosis (n=387). Social deprivation vs. Less deprived socioeconomic status was evaluated on 30-day, 1-year and 3-year survival/mortality rates. Social deprivation was not associated with adverse mortality following TAVI, but more deprived patients had a significantly longer hospital stay (29.6 vs 21.3 days, p<0.05).