Valvular & structural heart disease
Waiting times of women vs. men undergoing transcatheter aortic valve implantation
Authors' conclusion
TAVI waiting times are significantly longer in women compared to men and are associated with increased mortality and HFH and reduced mobility at 30-days.
Study context
- Population
- Patients undergoing transcatheter aortic valve implantation (TAVI) for severe AS at a tertiary referral hospital in Australiamatched cohort n = 345
- Participants
- 407 patients
- Exposure
- Women vs men undergoing TAVI
- Outcome
- Waiting times (total; work-up: referral to heart team approval; procedural: approval to procedure)
Methodological detailssingle-centre, matched cohort
- Single-centre
- Matched cohort
Main finding
As reported in the abstract
Total waiting time
| Group | Value | Work-up waiting time (median [IQR]) | Procedural waiting time (median [IQR]) |
|---|---|---|---|
| Women | median 156 (IQR 114–220) days | 83 [IQR 50-128] | 65 [IQR 44-100] |
| Men | median 147 (IQR 92–204) days | 71 [IQR 36-119] | 58 [IQR 30-93] |
Value
Womenmedian 156 (IQR 114–220) days
Menmedian 147 (IQR 92–204) days
Work-up waiting time (median [IQR])
Women83 [IQR 50-128]
Men71 [IQR 36-119]
Procedural waiting time (median [IQR])
Women65 [IQR 44-100]
Men58 [IQR 30-93]
- Women vs Men: P = 0.037 — total waiting time
- Women vs Men: P = 0.15 — work-up waiting time
- Women vs Men: P = 0.042 — procedural waiting time
Observational data: associations, not effects.
Secondary outcomes
30-day mortality and heart failure hospitalizations (HFH) composite, by waiting time
- Longer work-up waiting time associated with higher 30-day mortality and HFH in women, not in men
- P = 0.01
- Longer procedural waiting time associated with higher 30-day mortality and HFH in women, not in men
- P = 0.02
30-day mobility, by waiting time
- Longer procedural waiting time associated with decreased 30-day mobility in women, not in men
- P = 0.044
Original publication
Waiting times of women vs. men undergoing transcatheter aortic valve implantation. Eur Heart J Qual Care Clin Outcomes. Published 2 December 2022. doi:10. 1093/ ehjqcco/ qcac081
Composed by AI from the published abstract and checked against it. How Briefs are made →