Temporal Trends and Early Outcomes of Transcatheter versus Surgical Mitral Valve Repair in Atrial Fibrillation Patients
Table 1
Baseline characteristics for SMVR versus TMVR in patients with AF in unmatched and matched cohorts.
Unmatched cohort
value
Matched cohort
value
SMVR in AF
TMVR in AF
TMVR in AF
SMVR in AF
Number
16,972
9,195
4,680
4,680
Age
66.66 ± 10.74
79.34 ± 8.82
<0.001
75.24 ± 7.38
75.71 ± 9.73
0.009
Female
41.2%
44.7%
<0.001
47.2%
49.0%
0.086
Paroxysmal AF
55.1%
53.7%
0.027
41.4%
37.4%
<0.001
Median income range
<0.001
0.095
0–25th percentile
18.0%
19.1%
19.8%
19.4%
25−50th percentile
23.1%
23.9%
23.3%
25.5%
50−75th percentile
27.0%
28.0%
27.2%
26.5%
75−100th percentile
31.9%
29.0%
29.7%
28.6%
Hospital size
<0.001
<0.001
Small
5.9%
2.8%
4.6%
3.2%
Medium
22.0%
20.9%
19.6%
23.2%
Large
72.1%
76.3%
75.8%
73.6%
Pay
<0.001
0.192
Medicare
58.8%
90.2%
85.8%
86.3%
Medicaid
5.4%
1.6%
2.2%
2.6%
Others
35.8%
8.2%
12.0%
11.0%
Urgent/emergent
21.5%
25.6%
<0.001
26.1%
25.8%
0.777
Prior PCI
4.8%
18.8%
<0.001
11.0%
10.8%
0.817
Prior CABG
2.7%
19.9%
<0.001
7.8%
8.7%
0.134
Prior PPM/ICD
6.8%
26.2%
<0.001
15.5%
15.9%
0.609
Smoke
29.5%
34.0%
<0.001
32.3%
32.3%
0.965
Dyslipidemia
48.0%
60.1%
<0.001
55.3%
55.9%
0.618
Anemia
3.5%
5.2%
<0.001
4.8%
4.5%
0.557
Obesity
15.6%
10.6%
<0.001
14.0%
13.7%
0.697
Alcohol use
0.2%
0.1%
0.081
0.2%
0.1%
0.605
Prior stroke
7.3%
12.9%
<0.001
10.9%
11.3%
0.553
Myocardial infarction
5.8%
16.7%
<0.001
11.2%
10.8%
0.552
Congestive heart failure
56.7%
89.0%
<0.001
82.7%
81.4%
0.118
Peripheral vascular disease
11.1%
24.4%
<0.001
18.4%
17.5%
0.27
Cerebrovascular disease
5.0%
5.6%
0.055
5.9%
5.9%
1
Dementia
0.7%
3.3%
<0.001
2.1%
2.0%
0.77
Chronic pulmonary disease
18.0%
27.4%
<0.001
25.8%
25.2%
0.507
Disease
0.3%
0.6%
<0.001
0.6%
0.5%
0.889
Peptic ulcer disease
2.5%
3.2%
0.001
3.0%
3.3%
0.443
Liver disease
2.2%
2.6%
0.102
2.8%
2.5%
0.521
Diabetes
12.1%
13.2%
0.008
14.4%
15.3%
0.211
Paraplegia
1.2%
0.5%
<0.001
0.8%
0.9%
0.647
Renal disease
16.2%
41.7%
<0.001
32.4%
31.1%
0.169
Metastatic solid tumor
0.2%
0.6%
<0.001
0.4%
0.4%
0.867
Charlson comorbidity index
4.68 ± 2.00
6.90 ± 1.97
<0.001
6.32 ± 1.86
6.26 ± 1.86
0.128
Normally distributed continuous variables expressed as the mean value ± standard deviation and categorical variables were expressed as percentages. AF: atrial fibrillation; SMVR: surgical mitral valve repair; TMVR, transcatheter mitral valve repair; PPM: permanent pacemaker implant; ICD: implantable cardioverter defibrillator.