Valvular & structural heart disease

End of Life After Transcatheter Aortic Valve Replacement: A Danish Nationwide Cohort Study

JACC Cardiovasc IntervPublished Matched cohort study

Authors' conclusion

End of life for TAVR patients is characterized by high frailty and comorbidity burden. Importantly, most hospitalizations are of noncardiovascular cause

Study context

Population
Deceased patients who underwent transcatheter aortic valve replacement (TAVR), Danish nationwide registers, 2008–2022median age 86 years, 55.1% males
Participants
2,544 vs 25,440
Exposure
Deceased TAVR patients vs matched general-population controls
  • TAVRn = 2,544
  • Controlsn = 25,440reference
Outcome
Patient characteristics and hospitalizations at end of life
Follow-up
Last year of life
Methodological detailsnationwide registers, 1:10 matched on age, sex and calendar year of death
  • Nationwide registers
  • 1:10 matched on age, sex and calendar year of death

Main finding

As reported in the abstract

Hospitalization >28 days

Observational data: associations, not effects.

Further findings

Intermediate/high frailty

HF

CKD

Hospitalizations for noncardiovascular cause (of all hospitalizations) · last year of life

CV hospitalizations (of all hospitalizations) · last year of life

Hospitalizations for symptoms (of all hospitalizations) · last year of life

HF hospitalizations (of CV hospitalizations) · last year of life

  • Hospitalizations for noncardiovascular cause (of all hospitalizations): of 6,943 vs 49,438 hospitalizations

Original publication

End of Life After Transcatheter Aortic Valve Replacement: A Danish Nationwide Cohort Study. JACC Cardiovasc Interv. Published 23 December 2024. doi:10.1016/j.jcin.2024.09.021

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