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Rigshospitalet - a part of Copenhagen University Hospital
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Temporal trends and socioeconomic differences in treatment and mortality following a diagnosis of aortic stenosis

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AIMS: This study aims at determining the temporal trends and the socioeconomic differences in treatment and mortality following a diagnosis of aortic stenosis.

METHODS AND RESULTS: A total of 45,026 patients with a first-time diagnosis of aortic stenosis were identified in the Danish National Patient Registry in the period 2000-17. The risk of AVR within the first year after diagnosis decreased (OR = 1.84 in 2000-02 compared to 2015-16) and the risk was lower in the low-level educational group (OR = 0.85) and in the medium-level group (OR = 0.94) compared to high-level education. The risk of death after AVR within the first year decreased (OR = 2.25 in 2000-02 compared to 2015-16) and the risk was higher in the low-level educational group (OR = 1.32) and in the medium-level group (OR = 1.28) compared to high-level education. The risk of death within the first year after diagnosis, for those patients who did not get an AVR during the follow-up, decreased (OR = 3.08 in 2000-02 compared to 2015-16) and the risk was higher in the low-level educational group (OR = 1.21) and in the medium-level group (OR = 1.10) compared to high-level education.

CONCLUSION: Since 2000 there has been a decrease in both AVR treatment rate, mortality rate after AVR and mortality rate in patients not receiving AVR. For patients with lower-level education there is lower AVR treatment rate, higher mortality rate after AVR and higher mortality rate in patients not receiving AVR.

Original languageEnglish
JournalInternational Journal of Cardiology
Volume336
Pages (from-to)87-92
Number of pages6
ISSN0167-5273
DOIs
Publication statusPublished - 1 Aug 2021

Bibliographical note

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

    Research areas

  • Aortic Valve Stenosis/diagnostic imaging, Aortic Valve/surgery, Cardiac Catheterization, Heart Valve Prosthesis Implantation, Humans, Risk Factors, Severity of Illness Index, Socioeconomic Factors, Transcatheter Aortic Valve Replacement, Treatment Outcome

ID: 70546868