Influence of Sex on Perioperative Outcomes in Patients Undergoing Valve Replacement for Severe Aortic Stenosis

Caballero-Borrego, Juan; Gómez‐Doblas, Juan José; Valencia-Serrano, Félix; Cabrera-Bueno, Fernando; Rodríguez–Bailón, Isabel; Sánchez-Espín, Gemma; Such, Miguel; Orrit, Javier; Porras, Carlos; Melero, José M.; Olalla-Mercadé, Eduardo; Teresa–Galván, Eduardo de

doi:10.1016/s1885-5857(09)71511-7

Cited by 16 publications

(14 citation statements)

References 19 publications

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“…Smaller bioprosthesis sizes were selected for women than for men (23.9 Ϯ 1.6 vs. 26.3 Ϯ 1.5, p Ͻ 0.001) because of women's smaller aortic annulus size (20.9 Ϯ 1.4 vs. 22.9 Ϯ 1.7, p Ͻ 0.001). This is consistent with existing SAVR reports (4,5).…”

Section: Discussionsupporting

confidence: 93%

“…The valve prosthesis was selected according to the annulus size; the Edwards valve was used in patients with an 18 mm to 24. 5 The Edwards valve was used in the majority (85.4%) of the whole cohort, and more frequently in women compared to men (91.6% vs. 79.1%, p ϭ 0.005) ( Table 2). The minimal femoral artery diameter (7.74 Ϯ 1.03 mm vs. 8.55 Ϯ 1.34 mm, p Ͻ 0.001) and femoral calcification score (0.37 Ϯ 0.57 vs. 0.77 Ϯ 0.75, p Ͻ 0.001) were smaller in women compared to men.…”

Section: Resultsmentioning

confidence: 99%

“…Although sex-related differences in cardiovascular disease have been explored for a long time, only a few studies have been conducted to clarify sex differences in patients with aortic stenosis (AS) and the impact of sex on clinical outcomes after surgical aortic valve replacement (SAVR) (1)(2)(3)(4). Certain studies have shown an increased short-term mortality rate (1,5), and female sex has been identified by EuroSCORE (European System for Cardiac Operative Risk Evaluation) as a predictor of perioperative mortality after cardiac surgery. Other studies have shown either better long-term survival in females (2,4) or no sex differences (3).…”

Section: Discussionmentioning

confidence: 99%

“…Several contrasting reports on sex-related differences in SAVR have been published (4,5,11). In female patients, SAVR is technically demanding because of their smaller stature, BSA, and aortic root.…”

Section: Post-procedural Complications and Outcomesmentioning

confidence: 99%

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Sex-Related Differences in Clinical Presentation and Outcome of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis

Hayashida

Morice

Chevalier

et al. 2012

Journal of the American College of Cardiology

178

107

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Section: Discussionsupporting

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Post-procedural Complications and Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Sex-Related Differences in Clinical Presentation and Outcome of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis

Hayashida

Morice

Chevalier

et al. 2012

Journal of the American College of Cardiology

178

107

View full text Add to dashboard Cite

show abstract

“…The multivariate analysis showed that age over 60 years is a risk factor, which is in agreement with the literature [15-ANDRADE, ING ET AL -Assessment of the EuroSCORE as a predictor for mortality in valve cardiac surgery at the Heart Institute of Pernambuco 17], especially when the cardiac valve surgery is associated to myocardial revascularization [18,19] or is a case of reoperation [17,20].…”

Section: Discussionsupporting

confidence: 84%

Avaliação do EuroSCORE como preditor de mortalidade em cirurgia cardíaca valvar no Instituto do Coração de Pernambuco

Newton

Andrade

Neto

et al. 2010

Rev Bras Cir Cardiovasc

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Sex, Race, and Socioeconomic Disparities in Patients With Aortic Stenosis (from a Nationwide Inpatient Sample)

Beydoun

Liang

et al. 2016

The American Journal of Cardiology

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Aortic stenosis (AS) is the third most prevalent cardiovascular disease following hypertension and coronary artery disease. The primary objective of this cross-sectional study is to examine gender, racial, and socioeconomic disparities in AS-related health care utilization in patients aged ≥50 years using data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample. AS was identified among inpatient discharges with International Classification of Diseases, Ninth Revision, Clinical Modification, code 424.1. Using stratum-specific weighted totals, means, proportions, and regression models, we examined time trends and disparities for inhospital AS prevalence according to gender, race, and income over the 2002 to 2012 period, predictors of AS (gender, race, income, age, health insurance, co-morbidities, and hospital-level characteristics), and AS’s role as a predictor of inhospital death, length of stay, and total charges. Inhospital AS prevalence increased from 2.10% in 2002 to 2.37% in 2012, with similar trends observed within gender, race, and income strata. Women were less likely to have AS compared with men (adjusted odds ratio [ORadj] 0.84; 95% confidence interval [CI] 0.83 to 0.86). Blacks (ORadj 0.68; 95% CI 0.66 to 0.71), Hispanics (ORadj 0.79; 95% CI 0.76 to 0.84), and Asians/Pacific Islanders (ORadj 0.68; 95% CI 0.64 to 0.74) were less likely than whites to have AS diagnosis that was directly associated with income. AS was inversely related to inhospital death but positively linked to total charges overall and longer hospital stays among men, whites, and middle-income patients. However, shorter stays with AS were observed among blacks. In conclusion, among older inpatients, AS prevalence was ~2% and was higher among males, whites, and higher income groups. Although inhospital death was lower and total charges were higher in AS, length of stay’s association with AS varied by gender, race, and income.

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Influence of Sex on Perioperative Outcomes in Patients Undergoing Valve Replacement for Severe Aortic Stenosis

Cited by 16 publications

References 19 publications

Sex-Related Differences in Clinical Presentation and Outcome of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis

Sex-Related Differences in Clinical Presentation and Outcome of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis

Avaliação do EuroSCORE como preditor de mortalidade em cirurgia cardíaca valvar no Instituto do Coração de Pernambuco

Sex, Race, and Socioeconomic Disparities in Patients With Aortic Stenosis (from a Nationwide Inpatient Sample)

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