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 language | English |
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Journal | International Journal of Cardiology |
Volume | 336 |
Pages (from-to) | 87-92 |
ISSN | 0167-5273 |
DOIs | |
Publication status | Published - 2021 |
Bibliographical note
Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.
- Aortic Valve/surgery, Aortic Valve Stenosis/diagnostic imaging, Cardiac Catheterization, Heart Valve Prosthesis Implantation, Humans, Risk Factors, Severity of Illness Index, Socioeconomic Factors, Transcatheter Aortic Valve Replacement, Treatment Outcome
Research areas
ID: 302202892