Navigation Links
Rate of aortic valve replacement for elderly patients has increased; outcomes improved
Date:11/17/2013

Chicago Jose Augusto Barreto-Filho, M.D., Ph.D., of the Federal University of Sergipe and the Clinica e Hospital Sao Lucas, Sergipe, Brazil, and colleagues assessed procedure rates and outcomes of surgical aortic valve replacement (AVR) among 82,755,924 Medicare fee-for-service beneficiaries between 1999 and 2011.

"Aortic valve disease in the United States is a major cardiovascular problem that is likely to grow as the population ages. Aortic valve replacement is the standard treatment even for very elderly patients despite its risks in this age group. With transcatheter aortic valve replacement emerging as a less invasive option, contemporary data from real-world practice are needed to provide a perspective on the outcomes that are being achieved with surgery," according to background information in the article.

The primary measured outcomes for the study were 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.

The researchers found that rates of AVR increased between 1999 and 2011, including AVR without CABG surgery, while the rate of AVR with CABG surgery decreased during this time period. Procedure rates increased in all age, sex, and race strata, most notably in patients 75 years or older.

Mortality decreased at 30 days (absolute decrease, 3.4 percent; adjusted annual decrease, 4.1 percent) per year and at 1 year (absolute decrease, 2.6 percent; adjusted annual decrease, 2.5 percent). Thirty-day all-cause readmission also decreased by 1.1 percent per year. In addition, AVR with CABG surgery decreased and women and black patients had lower procedure and higher mortality rates.

"These findings may provide a useful benchmark for outcomes of aortic valve replacement surgery for older patients eligible for surgery considering newer transcatheter treatments," the authors write.


'/>"/>

Contact: Karen N. Peart
karen.peart@yale.edu
203-980-2222
The JAMA Network Journals
Source:Eurekalert

Page: 1

Related medicine news :

1. TAVI feasible in bicuspid aortic valve
2. Common blood pressure drug reduces aortic enlargement in Marfan syndrome
3. Family history doubles aortic stenosis risk
4. Researchers identify master coordinator for aortic rupture
5. Feasibility trial reports deployment of new device for TAVI in aortic insufficiency
6. MDCT helps better determine valve implant size for transcatheter aortic valve in patients with aortic stenosis
7. Mortality for acute aortic dissection near 1 percent per hour during initial onset
8. Smaller Aortic Aneurysms May Require Less Frequent Monitoring
9. Minimally invasive surgery works well for abdominal aortic aneurysms, Mayo finds
10. TAVI improves quality of life in patients with severe aortic stenosis for at least 1 year
11. Study questions technique to repair ruptured abdominal aortic aneurysms
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/22/2014)... disabilities and multiple chronic conditions are screened for breast ... no chronic conditions, a new study has found. , ... moderate disabilities or women with only one chronic condition, ... the Li Ka Shing Knowledge Institute of St. Michael,s ... have other measures of social vulnerability, such as low ...
(Date:8/22/2014)... August 22, 2014 Key West Health ... experts revealed their much anticipated study results of the ... today and released an accompanying infographic on their website. ... can have a major impact on the skin and ... and more. , When asked how they determined the ...
(Date:8/22/2014)... (PRWEB) August 22, 2014 Until now, those ... standard crutches or walkers to keep mobile. Thanks to an ... made much more effective. , He developed a prototype for ... an injured leg or foot but provide comfort and reduce ... to different heights, it is also convenient and easy to ...
(Date:8/22/2014)... Chest pain, breathing difficulties, fainting. Each year approx. 265,000 ... of serious illness. New research from Aarhus University and ... as many as every fourth patient are ... severe symptoms that led to the acute hospitalisation., "Naturally, ... examinations at the hospital disprove that there is a ...
(Date:8/22/2014)... lactose intolerance. However, these are two entirely different mechanisms ... do not digest lactose properly because they lack an ... potentially much more dangerous cow milk allergy, however, the ... IgE antibodies. , According to statistics, about two to ... genuine milk allergy. Less adults are diagnosed with the ...
Breaking Medicine News(10 mins):Health News:Women with severe, chronic health issues are screened for breast cancer less often 2Health News:Key West Health & Beauty Announces The 12 Best & Worst U.S. Cities For Skin Study 2Health News:Assistive Device for Walking Invented by InventHelp Client (VBL-501) 2Health News:Many patients are discharged without a diagnosis 2Health News:Scientists uncover why major cow milk allergen is actually allergenic 2
... will now enable Indians who have acquired medical degrees from ... will be conducted by the National Board of Examinations (An ... The purpose of the registration is only to qualify for ... Medical Council and shall not confer any other right whatsoever ...
... to suffer from the negative effects of coffee that has ... the coffee. Caffeinated coffee has been found to boost blood ... risk of heart disease. However, a new study by Dutch ... Nutrition claims that caffeine might not be the only ingredient ...
... new study published by New England Journal of Medicine ... of peripheral arterial disease(PAD) may benefit from walking a ... ,Kerry J. Stewart, Johns Hopkins University, Director of Clinical ... pain during exercise, so they stop, which makes them ...
... recent health survey across England showed that many do ... cancer and other serious diseases. The survey included nearly// ... trends were revealed by the study. ,The survey ... eating and household income. Almost 40% of women in ...
... environment and self to lead healthy, disease free lives. ... habit of hand washing could help us reduce the risk of ... get our hands dirty, apart from heavy house work and gardening, ... not bother to wash our hands even before a meal. Recent ...
... Breast cancer has been associated to many risk factors ... alcohol consumption. Several earlier studies have linked alcohol to ... also because smoking often accompanies drinking, researchers have not ... ,Now, researchers from Cancer Research, UK, who included ...
Cached Medicine News:Health News:Caffeine is not the only culprit in coffee! 2
(Date:8/21/2014)... , Aug. 21, 2014 /CNW/ - The Canadian Epilepsy ... new comic series designed to educate children about the most ... The Medikidz Explain Epilepsy comic series tells a ... is navigating middle school while living with epilepsy. ... Canadians, there is still so much misinformation and lack of ...
(Date:8/21/2014)... , Aug. 21, 2014  Seventy-one percent of Americans ... OxyContin is a serious public health and safety issue in ... from a survey released today by Repass & Partners, a ... "Americans understand the severity of the prescription medication ... progress with this very serious health situation facing our country," ...
(Date:8/21/2014)... , Aug. 21, 2014 InfinityQS International, ... Manufacturing Intelligence , today announces Infusion Chicago, ... event will be held Oct. 9-10, 2014, at ... designed to showcase the necessity for implementing a ... and Manufacturing Intelligence to gain insight into production ...
Breaking Medicine Technology:Action Heroes Harness Powers to Educate Children About Epilepsy 2Action Heroes Harness Powers to Educate Children About Epilepsy 3Consumers Desperate For Measures To Curb Prescription Drug Abuse 2Consumers Desperate For Measures To Curb Prescription Drug Abuse 3InfinityQS to Host Manufacturing Intelligence Conference in Chicago 2
... ... , LONDON, Dec. 14 A new solution developed by IBM ... Malaria Partnership, is helping to save lives using everyday technology to ... , (Photo: http://www.newscom.com/cgi-bin/prnh/20091214/NY25146-a ) , (Photo: ...
... , GENEVA, Switzerland, December 14 ... Meeting was held,in Bermuda on 7th December. In excess of ... and overwhelmingly approved all the resolutions,put forward. , ... Shortt of Galmoy,as the new Director of Corporate Communications. In ...
Cached Medicine Technology:Saving Lives with SMS for Life 2Saving Lives with SMS for Life 3Saving Lives with SMS for Life 4Saving Lives with SMS for Life 5Calcitech Holds Annual General Meeting 2
1.0 mm Micro System. The Titanium Micro System is also useful in the practice of ENT, Neurosurgery and Handsurgery....
... Cfix cable fixation system is a flexible ... need for crimping and address the surgeon's ... mechanism provides the surgeon with the ability ... required prior to final cutting without the ...
... System is a unique and versatile posterior ... fusion constructs, as a translational implant in ... anchoring element for bone or metallic implants, ... of implant configurations. Songer Cables offer advantages ...
Specially designed combination of demineralized bone fibers and demineralized bone cubes that are both osteoinductive and osteoconductive. Packs well into bone defects. Eliminates the need to mix can...
Medicine Products: