National Trends and Outcomes of Tricuspid Valve Surgery with Concomitant Mitral Valve Surgery: Results From a Ten-year Analysis of the National Inpatient Sample Database |
| |
| Affiliation: | 1. Division of Cardiology, University of New Mexico Health Sciences Center, Albuquerque, NM;2. Department of Surgery, New York University Langone Health, Long Island, Mineola, NY;3. Division of Cardiology, Ochsner Medical Center, New Orleans, LA;4. Division of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM;5. Division of Cardiology, Houston Methodist Debakey Heart and Vascular Institute, Houston, TX;6. Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ;1. Royal College of Surgeons in Ireland, Dublin, Ireland;2. Houston Methodist Hospital, Houston, TX;3. Mayo Clinic, Phoenix, AZ;4. Cardiovascular Analytics Group, Hong Kong;5. University of Kentucky, Louisville, KY;6. University Hospitals Cleveland Medical Centre, Cleveland, OH;1. Department of Cardiology, National Heart Centre Singapore, Singapore;2. National Heart Research Institute, National Heart Centre Singapore, Singapore;1. Las Vegas-Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV;2. Department of Internal Medicine, The University of British Columbia, Vancouver, BC, Canada;3. Department of Medicine, Emory University, Atlanta, GA;4. Department of Internal Medicine, St. George''s University School of Medicine, True Bule, Greneda;5. Department of Internal Medicine, Arrowhead Regional Medical Center, Arrowhead, CA, United States;6. Emory University, Atlanta, GA;7. Department of Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, United States;1. Department of Cardiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, P.R. China;2. Medical College, Qingdao University, Qingdao, Shandong, P.R. China;3. Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, P.R. China;4. Kent and Medway Medical School, University of Kent, Canterbury, Kent, UK;5. Department of Oncology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, P.R. China;1. Department of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan;2. Department of Medicine, The University of Arizona, Tucson, AZ;3. Department of Medicine, Mohtarma Benazir Bhutto Shaheed Medical College, Mirpur, Azad and Jammu Kashmir;4. Department of Medicine, King Edward Medical University, Lahore, Pakistan;5. Dow University of Health Sciences, Karachi, Pakistan;6. Lehigh Valley Heart Specialists, Lehigh Valley Health Network, Allentown, PA;7. Montefiore New Rochelle Hospital, New Rochelle, NY;8. Mayo Clinic, Rochester, MN |
| |
| Abstract: | According to an estimate, 20% of patients with heart valve disease have multivalve involvement necessitating combined valve surgery. There is a dearth of data about the clinical outcomes of patients with combined mitral and tricuspid valve disease who go through tricuspid valve surgery with concomitant mitral valve replacement or repair. We utilized National Inpatient Sample (NIS) between January 1, 2004, and December 31, 2014, to analyze the outcomes of patients who underwent tricuspid valve surgery with either mitral valve replacement or repair. We identified 21,141 weighted hospitalizations for combined TVS with MVr (TVS/MVr) or TVS with MVR (TVS/MVR). The overall inpatient mortality in the TVS/MVR cohort was higher than in the TVS/MVr cohort (7.36% vs 5.33%, P < 0.01). There was a trend toward decreased mortality over the years in the TVS/MVr cohort (P = 0.04) while mortality remained unchanged in the TVS/MVR cohort (P = 0.88). Overall, the TVS/MVr cohort had better clinical outcomes profile compared with TVS/MVR cohort. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
