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Table 2 Relationship between Baseline and Procedural Characteristics with Post-TAVR Length of Stay, Adjusted by Model Covariates. Multivariable analysis of the variables associated with length of stay

From: Factors associated with length of stay following trans-catheter aortic valve replacement - a multicenter study

Parameter

Hazard Ratio (95% Confidence Interval)

p Value

Year

 2014

Referent

 

 2012

0.78 (0.68–0.9)

<0.001

 2013

0.85 (0.73–0.98)

0.021

Sex

 Female

Referent

 

 Male

1.12 (0.97–1.3)

0.133

Age

0.99 (0.99–1)

<0.001

Pre-TAVR Admission

 0–2 days

Referent

 

  ≥ 3 days

0.64 (0.46–0.9)

0.009

BMI

1 (0.98–1.02)

0.920

STS Risk Score

0.98 (0.96–1)

0.064

NYHA Class

 4

Referent

 

 1–2

1.28 (1.1–1.49)

0.001

 3

1.16 (1.03–1.31)

0.019

Atrial Fibrillation

0.76 (0.69–0.84)

<0.001

Hypertension

1 (0.83–1.2)

0.960

Diabetes Mellitus

1 (0.89–1.13)

0.986

Dyslipidemia

0.92 (0.68–1.24)

0.577

Coronary Artery Disease

0.98 (0.82–1.16)

0.805

Prior PCI

1.05 (0.84–1.31)

0.670

Prior Open Heart Surgery

1.15 (1.09–1.21)

<0.001

Dialysis

0.95 (0.64–1.41)

0.797

COPD

0.94 (0.75–1.17)

0.558

Peripheral Vascular Disease

1.01 (0.81–1.25)

0.948

Permanent Pacemaker

1.1 (0.74–1.62)

0.644

Stroke

0.81 (0.58–1.13)

0.215

Pre-Procedural Ejection Fraction (1ss0%)

1.05 (1.03–1.07)

<0.001

Pre-Procedural Mean Pressure Gradient

1 (1–1.01)

<0.001

Procedure Time (10 min)

0.98 (0.96–0.99)

0.001

Access Site

 Transfemoral

Referent

 

 Direct Aortic

0.76 (0.67–0.85)

<0.001

 Subclavian or Suprasternal

2.42 (1.4–4.2)

0.002

 Transapical

0.49 (0.41–0.58)

<0.001

Anesthesia Type

 General Anesthesia

Referent

 

 Local/Conscious Sedation

1.19 (1.06–1.35)

0.004

Valve Used

 Medtronic CoreValve or Evolut-R

Referent

 

 Edwards XT or S3

0.99 (0.96–1.03)

0.647

 Portico

0.43 (0.25–0.73)

0.002

Valve in Valve Procedure

1.28 (1.15–1.41)

<0.001

Procedure prior to Weekenda

0.88 (0.77–1.01)

0.061

  1. Hazard ratios above 1 indicate shorter time to discharge and shorter length of stay, whereas the opposite is true for ratios below 1. STS Society of Thoracic Surgeons adult cardiac surgery risk score, NYHA New York Heart Association functional classification, COPD chronic obstructive pulmonary disease, PCI percutaneous coronary intervention
  2. aRefers to procedures that take place one day prior to the weekend