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The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation
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 va...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199028/ https://www.ncbi.nlm.nih.gov/pubmed/35982737 http://dx.doi.org/10.5114/aic.2022.115307 |
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author | Chabová, Barbora Hájek, Petr Adlová, Radka Hansvenclová, Eva Pecková, Monika Veselka, Josef |
author_facet | Chabová, Barbora Hájek, Petr Adlová, Radka Hansvenclová, Eva Pecková, Monika Veselka, Josef |
author_sort | Chabová, Barbora |
collection | PubMed |
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 < 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’ 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. |
format | Online Article Text |
id | pubmed-9199028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-91990282022-08-17 The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation Chabová, Barbora Hájek, Petr Adlová, Radka Hansvenclová, Eva Pecková, Monika Veselka, Josef Postepy Kardiol Interwencyjnej Original Paper 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 < 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’ 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. Termedia Publishing House 2022-04-11 2022-03 /pmc/articles/PMC9199028/ /pubmed/35982737 http://dx.doi.org/10.5114/aic.2022.115307 Text en Copyright: © 2022 Termedia Sp. z o. o. https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Chabová, Barbora Hájek, Petr Adlová, Radka Hansvenclová, Eva Pecková, Monika Veselka, Josef The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title | The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title_full | The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title_fullStr | The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title_full_unstemmed | The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title_short | The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
title_sort | impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199028/ https://www.ncbi.nlm.nih.gov/pubmed/35982737 http://dx.doi.org/10.5114/aic.2022.115307 |
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