Outcomes of surgical aortic valve replacement over three decades
The Journal of Thoracic and Cardiovascular Surgery, ISSN: 0022-5223, Vol: 164, Issue: 6, Page: 1742-1751.e8
2022
- 11Citations
- 25Captures
- 1Mentions
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Metrics Details
- Citations11
- Citation Indexes11
- 11
- CrossRef7
- Captures25
- Readers25
- 25
- Mentions1
- News Mentions1
- News1
Most Recent News
Researchers from Erasmus University Medical Center Report Recent Findings in Obesity, Fitness and Wellness (Outcomes of Surgical Aortic Valve Replacement Over Three Decades)
2023 APR 07 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity Daily News -- Data detailed on Obesity, Fitness and Wellness have been
Article Description
The study objective was to analyze temporal changes in baseline and procedural characteristics and long-term survival of patients undergoing surgical aortic valve replacement over a 30-year period. A retrospective analysis of patients undergoing surgical aortic valve replacement between 1987 and 2016 in the Erasmus Medical Center (Rotterdam, The Netherlands) was conducted. Patient baseline and procedural characteristics were analyzed in periods according to the date of surgical aortic valve replacement (period A: 1987-1996; B: 1997-2006; C: 2007-2016). Survival status was determined using the Dutch National Death Registry. Relative survival was obtained by comparing the survival after surgical aortic valve replacement with the survival of the age-, sex-, and year-matched general population. Between 1987 and 2016, 4404 patients underwent SAVR. From period A to C, the mean age increased from 63.9 ± 11.2 years to 66.2 ± 12.3 years ( P < .001), and the prevalence of diabetes mellitus, hypertension, hypercholesterolemia, previous myocardial infarction, and previous stroke at baseline increased ( P values for trend for all < .001). The prevalence of concomitant procedures increased from 42.4% in period A to 48.3% in period C ( P = .004). Bioprosthesis use increased significantly (18.8% in period A vs 67.1% in period C, P < .001). Mean survival after surgical aortic valve replacement was 13.8 years. Relative survival at 20 years in the overall cohort was 60.4% (95% confidence interval, 55.9-65.2) and 73.8% (95% confidence interval, 67.1-81.1) in patients undergoing isolated primary surgical aortic valve replacement. Patient complexity has been continuously increasing over the last 30 years, yet long-term survival after surgical aortic valve replacement remains high compared with the age-, sex-, and year-matched general population.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0022522321007480; http://dx.doi.org/10.1016/j.jtcvs.2021.04.064; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85106572245&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/34053741; https://linkinghub.elsevier.com/retrieve/pii/S0022522321007480; https://dx.doi.org/10.1016/j.jtcvs.2021.04.064
Elsevier BV
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