The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F22%3A10444730" target="_blank" >RIV/00064203:_____/22:10444730 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/22:10444730 RIV/00216208:11310/22:10444730

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=u~p364-~T7" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=u~p364-~T7</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5114/aic.2022.115307" target="_blank" >10.5114/aic.2022.115307</a>

Result language

angličtina

Original language name

The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation

Original language description

Introduction: An association exists between low socio-economic status (SES) and increased cardiovascular and all-cause mortality worldwide. Aim: To evaluate the impact of educational level as a marker of socio-economic status (SES) on the clinical condition of patients before transcatheter aortic valve implantation (TAVI) and survival after TAVI. Material and methods: We conducted a retrospective observational study involving patients with severe aortic stenosis (AS) who underwent TAVI. We divided patients based on their level of education into lower (LLE) and higher educational level (HLE) groups. We evaluated periprocedural (combined endpoints of device success (DS) and early safety (ES), according to VARC2 criteria) and mid-term outcomes (all-cause and cardiovascular mortality). Results: Of the 379 study patients, 212 were in the LLE group. The mean follow-up was 2.1 +/- 1.8 years. Patients with a LLE were younger (77.4 +/- 7.2 vs. 79.4 +/- 6.5 years, p = 0.006) and more often female (58% vs. 40%, p &lt; 0.001). They had higher body mass index (29.5 +/- 5.7 vs. 28.3 +/- 4.8, p = 0.037), more often type 2 diabetes mellitus (43% vs. 31%, p = 0.013) and moderate or severe aortic regurgitation (8% vs. 2%, p = 0.026), and some patients&apos; condition required urgent TAVI (5% vs. 0%, p = 0.003). There were no differences in combined procedural endpoints. The all-cause mortality during mid-term follow-up was 25% in the LLE group and 24% in the HLE group (log-rank, p = 0.941). Cardiovascular mortality was 19% in both groups (log-rank, p = 0.925). Conclusions: Patients with an LLE required TAVI at a younger age, had more comorbidities and had a more risky profile. Level of education did not influence periprocedural and mid-term outcomes.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Advances in Interventional Cardiology / Postępy w Kardiologii Interwencyjnej

ISSN

1734-9338

e-ISSN

1897-4295

Volume of the periodical

18

Issue of the periodical within the volume

1

Country of publishing house

PL - POLAND

Number of pages

8

Pages from-to

50-57

UT code for WoS article

000810977200007

EID of the result in the Scopus database

2-s2.0-85131930646