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- W2939255438 abstract "To identify racial/ethnic disparities in utilization rates, in-hospital outcomes and health care resource use among Non-Hispanic Whites (NHW), African Americans (AA) and Hispanics undergoing transcatheter aortic valve replacement (TAVR) in the United States (US). The National Inpatient Sample database was queried for patients ≥18 years of age who underwent TAVR from 2012 to 2014. The primary outcome was all-cause in hospital mortality. A total of 36,270 individuals were included in the study. The number of TAVR performed per million population increased in all study groups over the three years [38.8 to 103.8 (NHW); 9.1 to 26.4 (AA) and 9.4 to 18.2 (Hispanics)]. The overall in-hospital mortality was 4.2% for the entire cohort. Race/ethnicity showed no association with in-hospital mortality (P > .05). Though no significant difference were found between AA and NHW in any secondary outcome, being Hispanic was associated with higher incidence of acute myocardial infarction (aOR = 2.02; 95% CI, 1.06–3.85; P = .03), stroke/transient ischemic attack (aOR = 1.81; 95% CI, 1.04–3.14; P = .04), acute kidney injury (aOR = 1.65; 95% CI, 1.23–2.21; P < .01), prolonged length of stay (aOR = 1.18; 95% CI, 1.08–1.29; P < .01) and higher hospital costs (aOR = 1.27; 95% CI, 1.18–1.36; P < .01). There are significant racial disparities in patients undergoing TAVR in the US. Though in-hospital mortality was not associated with race/ethnicity, Hispanic patients had less TAVR utilization, higher in-hospital complications, prolonged length of stay and increased hospital costs." @default.
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- W2939255438 date "2019-07-01" @default.
- W2939255438 modified "2023-10-18" @default.
- W2939255438 title "Racial/Ethnic Disparities in Patients Undergoing Transcatheter Aortic Valve Replacement: Insights from the Healthcare Cost and Utilization Project's National Inpatient Sample" @default.
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- W2939255438 doi "https://doi.org/10.1016/j.carrev.2019.04.005" @default.
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