Trends in aortic valve replacement for elderly patients in the United States, 1999-2011.

ABSTRACT:

Importance

There is a need to describe contemporary outcomes of surgical aortic valve replacement (AVR) as the population ages and transcatheter options emerge.

Objective

To assess procedure rates and outcomes of surgical AVR over time.

Design, setting, and participants

A serial cross-sectional cohort study of 82,755,924 Medicare fee-for-service beneficiaries undergoing AVR in the United States between 1999 and 2011.

Main outcomes and measures

Procedure rates for surgical AVR alone and with coronary artery bypass graft (CABG) surgery, 30-day and 1-year mortality, and 30-day readmission rates.

Results

The AVR procedure rate increased by 19 (95% CI, 19-20) procedures per 100,000 person-years over the 12-year period (P<.001), with an age-, sex-, and race-ad

SUBMITTER: Barreto-Filho JA 

PROVIDER: S-EPMC4089974 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature