Valvular & structural heart disease

Waiting times of women vs. men undergoing transcatheter aortic valve implantation

Eur Heart J Qual Care Clin OutcomesPublished Prospective cohort study

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
GroupValueWork-up waiting time (median [IQR])Procedural waiting time (median [IQR])
Womenmedian 156 (IQR 114–220) days83 [IQR 50-128]65 [IQR 44-100]
Menmedian 147 (IQR 92–204) days71 [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 →

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