Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal

Detalhes bibliográficos
Autor(a) principal: Avelar, FG
Data de Publicação: 2023
Outros Autores: Emmerick, Isabel, Alves, Joana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/151630
Resumo: Funding Information: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2023 BMJ Publishing Group. All rights reserved.
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spelling Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugala retrospective analysis from 2015 to 2017EpidemiologyPUBLIC HEALTHValvular heart diseaseMedicine(all)SDG 3 - Good Health and Well-beingFunding Information: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2023 BMJ Publishing Group. All rights reserved.Objectives To identify the factors associated with transcatheter aortic valve implantation (TAVI) use of TAVI in inpatients with aortic stenosis (AS) in Portugal and its geographical distribution. Methods A quantitative, observational and retrospective study using the Portuguese National Health Service inpatient discharge database from 2015 to 2017. Surgical aortic valve replacement (SAVR) and TAVI procedures were selected using the International Classification of Diseases. First, we mapped the yearly age-standardised rate for each procedure using QGIS. Then, we performed χ 2 tests, independent t-tests and logistic regressions to study the factors associated with TAVI use. Results From 2015 to 2017, 8398 hospitalisations were selected, 88.5% SAVR and 11.5% TAVI. From 2015 to 2017, SAVR use increased in the Northern region and decreased in the Lisbon region, while the opposite was observed for TAVI. TAVI was performed among the most complex (p<0.001) and older patients (the mean (SD) age for SAVR was 70 (±11) years old and 81 (±7) years old for TAVI, p<0.001). The results for the logistic regressions showed that, more recent hospitalisations, being older, living in the Lisbon region and having a higher Charlson Comorbidity Index was associated with an increased likelihood of undergoing TAVI (p<0.001). Conclusions TAVI increased over the years. TAVI is more often performed in more severe patients as an alternative to SAVR with similar discharge outcomes. These results suggest the existence of geographic disparities in the availability and access to healthcare services and technologies.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNAvelar, FGEmmerick, IsabelAlves, Joana2023-04-05T22:18:42Z2023-02-062023-02-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/151630eng2044-6055PURE: 57728689https://doi.org/10.1136/bmjopen-2022-070715info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:34:05Zoai:run.unl.pt:10362/151630Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:54:40.219822Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
a retrospective analysis from 2015 to 2017
title Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
spellingShingle Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
Avelar, FG
Epidemiology
PUBLIC HEALTH
Valvular heart disease
Medicine(all)
SDG 3 - Good Health and Well-being
title_short Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
title_full Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
title_fullStr Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
title_full_unstemmed Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
title_sort Spatial analysis and factors associated with transcatheter aortic valve implantation in Portugal
author Avelar, FG
author_facet Avelar, FG
Emmerick, Isabel
Alves, Joana
author_role author
author2 Emmerick, Isabel
Alves, Joana
author2_role author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Avelar, FG
Emmerick, Isabel
Alves, Joana
dc.subject.por.fl_str_mv Epidemiology
PUBLIC HEALTH
Valvular heart disease
Medicine(all)
SDG 3 - Good Health and Well-being
topic Epidemiology
PUBLIC HEALTH
Valvular heart disease
Medicine(all)
SDG 3 - Good Health and Well-being
description Funding Information: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © 2023 BMJ Publishing Group. All rights reserved.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-05T22:18:42Z
2023-02-06
2023-02-06T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/151630
url http://hdl.handle.net/10362/151630
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2044-6055
PURE: 57728689
https://doi.org/10.1136/bmjopen-2022-070715
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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