Donald Hedeker, Sara Pereira, Fernando Garbeloto, Tiago V Barreira, Rui Garganta, Cláudio Farias, Go Tani, Jean-Philippe Chaput, David F Stodden, José Maia, Peter T Katzmarzyk
Statistical analysis of the longitudinal fundamental movement skills data in the REACT project using the multilevel ordinal logistic model
American journal of human biology : the official journal of the Human Biology Council
limited data effect socioeconomic status ses transcatheter tavr surgical aortic valve replacement savr outcomes aortic stenosis study conducted populationbased analysis assess influence ses valve replacement outcomes patients undergoing tavr savr identified national inpatient sample q4 20152020 multivariable logistic regressions used compare inhospital outcomes patients living neighborhoods income lowest highest quartiles 613785 patients 977 underwent tavr 1013 savr rates decline lower neighborhood income levels tavrsavr ratio also declining lowerincome areas excluding concomitant procedures 58064 patients received isolated tavr 12355 lowincome 15212 highincome 43694 underwent isolated savr 10029 lowincome 10811 highincome lowincome patients tavr savr younger comorbid burden isolated tavr outcomes similar across income groups however isolated savr lowincome patients experienced higher inhospital mortality aor 144 p 001 pulmonary aor 113 p 001 renal complications aor 114 p 001 also transfers longer waits operations extended hospital stays lowerincome communities reduced access tavr savr tavr accessibility particularly limited given access tavr patients lowerincome neighborhoods mostly comparable outcomes however patients lowincome communities faced worse outcomes savr possibly due delays treatment ensuring equitable specialized healthcare resources including expanding tavr access economically disadvantaged communities crucial