Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018
Background: There is no robust evidence regarding the types of valves implanted among patients undergoing surgical aortic valve replacement (SAVR) in Spain. Methods: All cases of patients undergoing SAVR ± coronary artery bypass grafting from January 2007 to December 2018 in the public Spanish Natio...
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| Format: | Article |
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MDPI AG
2021-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/15/3209 |
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| author | Manuel Carnero-Alcázar Emiliano Rodríguez-Caulo Daniel Hernández-Vaquero Lourdes Montero-Cruces Daniel Perez-Camargo David Fernández-De Velasco Javier Cobiella-Carnicer Luis Maroto-Castellanos |
| author_facet | Manuel Carnero-Alcázar Emiliano Rodríguez-Caulo Daniel Hernández-Vaquero Lourdes Montero-Cruces Daniel Perez-Camargo David Fernández-De Velasco Javier Cobiella-Carnicer Luis Maroto-Castellanos |
| author_sort | Manuel Carnero-Alcázar |
| collection | DOAJ |
| description | Background: There is no robust evidence regarding the types of valves implanted among patients undergoing surgical aortic valve replacement (SAVR) in Spain. Methods: All cases of patients undergoing SAVR ± coronary artery bypass grafting from January 2007 to December 2018 in the public Spanish National Health System were included. We analyzed the trends of SAVR volume, risk profile and type of implanted valve across time and place. Using multivariable logistic regression, we identified factors associated with biological SAVR. Results: In total, 62,870 episodes of SAVR in 15 Spanish territories were included. In 35,693 (56.8%), a tissue valve was implanted. The annual volume of procedures increased from 107.3/million (2007) to 128.6 (2017). In 2018, it fell to 108.5. Age increased and Charlson’s comorbity index worsened throughout the study period. Tissue valve implantation increased in most regions. After adjusting for other covariates, we observed a high variability in aortic valve implantation across different regions, with differences of as much as 20-fold in the use of tissue valves. Conclusions: Between 2007 and 2018, we detected a significant increase in the use of bioprostheses in patients undergoing SAVR in Spain, and a great variability in the types of valve between the Spanish territories, which was not explained by the different risk profiles of patients. |
| first_indexed | 2024-03-10T09:14:29Z |
| format | Article |
| id | doaj.art-e2f330a12d9a48ac90b8a5186e1ec473 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T09:14:29Z |
| publishDate | 2021-07-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-e2f330a12d9a48ac90b8a5186e1ec4732023-11-22T05:47:27ZengMDPI AGJournal of Clinical Medicine2077-03832021-07-011015320910.3390/jcm10153209Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018Manuel Carnero-Alcázar0Emiliano Rodríguez-Caulo1Daniel Hernández-Vaquero2Lourdes Montero-Cruces3Daniel Perez-Camargo4David Fernández-De Velasco5Javier Cobiella-Carnicer6Luis Maroto-Castellanos7Department of Cardiac Surgery, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Cardiac Surgery, Hospital Universitario Virgen Macarena, 41009 Sevilla, SpainDepartment of Cardiac Surgery, Hospital Central de Asturias, 33011 Oviedo, SpainDepartment of Cardiac Surgery, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Cardiac Surgery, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Internal Medicine, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Cardiac Surgery, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Cardiac Surgery, Hospital Clínico San Carlos, Universidad Complutense de Madrid, 28040 Madrid, SpainBackground: There is no robust evidence regarding the types of valves implanted among patients undergoing surgical aortic valve replacement (SAVR) in Spain. Methods: All cases of patients undergoing SAVR ± coronary artery bypass grafting from January 2007 to December 2018 in the public Spanish National Health System were included. We analyzed the trends of SAVR volume, risk profile and type of implanted valve across time and place. Using multivariable logistic regression, we identified factors associated with biological SAVR. Results: In total, 62,870 episodes of SAVR in 15 Spanish territories were included. In 35,693 (56.8%), a tissue valve was implanted. The annual volume of procedures increased from 107.3/million (2007) to 128.6 (2017). In 2018, it fell to 108.5. Age increased and Charlson’s comorbity index worsened throughout the study period. Tissue valve implantation increased in most regions. After adjusting for other covariates, we observed a high variability in aortic valve implantation across different regions, with differences of as much as 20-fold in the use of tissue valves. Conclusions: Between 2007 and 2018, we detected a significant increase in the use of bioprostheses in patients undergoing SAVR in Spain, and a great variability in the types of valve between the Spanish territories, which was not explained by the different risk profiles of patients.https://www.mdpi.com/2077-0383/10/15/3209surgical aortic valve replacementmechanical prosthesisbiological prosthesisepidemiology |
| spellingShingle | Manuel Carnero-Alcázar Emiliano Rodríguez-Caulo Daniel Hernández-Vaquero Lourdes Montero-Cruces Daniel Perez-Camargo David Fernández-De Velasco Javier Cobiella-Carnicer Luis Maroto-Castellanos Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 Journal of Clinical Medicine surgical aortic valve replacement mechanical prosthesis biological prosthesis epidemiology |
| title | Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 |
| title_full | Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 |
| title_fullStr | Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 |
| title_full_unstemmed | Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 |
| title_short | Variablity of Mechanical or Tissue Valve Implantation in Patients Undergoing Surgical Aortic Valve Replacement in Spain: National Retrospective Analysis from 2007 to 2018 |
| title_sort | variablity of mechanical or tissue valve implantation in patients undergoing surgical aortic valve replacement in spain national retrospective analysis from 2007 to 2018 |
| topic | surgical aortic valve replacement mechanical prosthesis biological prosthesis epidemiology |
| url | https://www.mdpi.com/2077-0383/10/15/3209 |
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