Nursing Home Admission Following Transcatheter Aortic Valve Replacement: A Danish Nationwide Cohort Study
Research output: Contribution to journal › Journal article › Research › peer-review
Documents
- Nursing Home
Final published version, 168 KB, text/html
Background: Loss of autonomy associated with nursing home admission (NHA) is a concern for patients. Yet the incidence of NHA after transcatheter aortic valve replacement (TAVR) is unknown. Objectives: The aim of this study was to investigate the incidence and factors associated with NHA following TAVR compared with the general population. Methods: Through Danish registries, patients alive at discharge after TAVR were identified from January 2014 to October 2021. Patients were matched 1:5 on sex, age, and calendar year to the general population. The 3-year cumulative incidence and 95% CI of NHA were estimated using the Aalen-Johansen estimator, accounting for the competing risk for death. Through multivariate cause-specific Cox regression models, factors associated with NHA were examined. Results: In total, 5,312 TAVR patients were matched to 26,560 control subjects with a median age of 81 years and 56.1% males. Comorbidity burden was higher for TAVR patients. The 3-year cumulative incidence of NHA was 6.3% (95% CI: 5.5%-7.1%) for TAVR patients compared with 5.8% (95% CI: 5.4%-6.1%) for the general population. For TAVR patients >85 years of age, the cumulative incidence of NHA was 11.6% (95% CI: 9.5%-13.8%), and the risk for death was 23.3% (95% CI: 20.4%-26.2%). Factors associated with NHA were increasing age, frailty, living alone, and atrial fibrillation. Conclusions: TAVR was not associated with an increased incidence of NHA compared with the general population. Despite the increased incidence of NHA for TAVR patients >85 years of age, approximately 2 in 3 patients were still alive and not admitted to nursing homes 3 years after TAVR.
Original language | English |
---|---|
Journal | JACC: Cardiovascular Interventions |
Volume | 16 |
Issue number | 2 |
Pages (from-to) | 179-188 |
Number of pages | 10 |
ISSN | 1936-8798 |
DOIs | |
Publication status | Published - 2023 |
Bibliographical note
Publisher Copyright:
© 2023 The Authors
- age, epidemiology, mortality, nursing home, prognosis, transcatheter aortic valve replacement
Research areas
ID: 370200895