Next Article in Journal
COVID-19 Vaccines Adverse Reactions Reported to the Pharmacovigilance Unit of Beira Interior in Portugal
Previous Article in Journal
Use of Neuronavigation and Augmented Reality in Transsphenoidal Pituitary Adenoma Surgery
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 11
Issue 19
10.3390/jcm11195588
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Epidemiological and Clinical Features in Very Old Men and Women (≥80 Years) Hospitalized with Aortic Stenosis in Spain, 2016–2019: Results from the Spanish Hospital Discharge Database

by
Sergio Palacios-Fernandez
1,
Mario Salcedo
1,
Isabel Belinchon-Romero
2,
Gregorio Gonzalez-Alcaide
3 and
José-Manuel Ramos-Rincón
2,4,*
1
Department of Internal Medicine, San Pedro Hospital, 26006 Logroño, Spain
2
Department of Clinical Medicine, Miguel Hernandez University, 03550 Alicante, Spain
3
Department of History of Science and Documentation, University of Valencia, 46010 Valencia, Spain
4
Department of Internal Medicine, Alicante General University Hospital-Alicante Institute for Health and Biomedical Research (ISABIAL), 03010 Alicante, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(19), 5588; https://doi.org/10.3390/jcm11195588
Submission received: 13 July 2022 / Revised: 29 August 2022 / Accepted: 20 September 2022 / Published: 23 September 2022
(This article belongs to the Section Cardiovascular Medicine)
Browse Figure
Versions Notes

Abstract

(1) Background: The aging population poses challenges for hospital systems. Aortic stenosis is among the most frequent diseases in very old patients. The aim of this study was to describe gender and age differences in the clinical characteristics of very old patients hospitalized with aortic stenosis (AoS) in Spain from 2016 to 2019. (2): Methods: A retrospective observational study analyzing data from the national surveillance system for hospital data. Variables analyzed were age group, sex, length of stay, deaths, and comorbidity. (3) Results: The analysis included 46,967 discharges. Altogether, 7.6% of the admissions ended in death. The main reason for admission was heart failure (34.3%), and this increased with age (80–84 years: 26% versus 95–99 years: 56.6%; p < 0.001). The main treatment procedure was the transcatheter aortic valve replacement (12.7%), performed in 14.3% of patients aged 80–84 versus 0.5% in patients aged 95–99 (p < 0.001). In the multivariable analysis, women were admitted with more comorbidities (odds ratio [OR] 1.22, 95% confidence interval [CI] 1.06–1.20). Mortality was similar, albeit women were admitted less for syncope (OR 0.83, 95% CI 0.74–0.93). Women also underwent fewer coronary catheterizations (OR 0.81, 95% CI 0.77–0.87) and echocardiograms (OR 0.96, 95% CI 0.94–0.98). (4) Conclusions: Aortic stenosis leads to a high number of hospital admissions. Women with AoS presented more heart failure and less cardiovascular pathology than men. Also, women are admitted with fewer episodes of syncope and have fewer ultrasounds and catheterizations.
Keywords: aortic stenosis; aged 80 and over; hospitalization; administrative database; sex; female; mortality; surgery; Spain aortic stenosis; aged 80 and over; hospitalization; administrative database; sex; female; mortality; surgery; Spain

Share and Cite

MDPI and ACS Style

Palacios-Fernandez, S.; Salcedo, M.; Belinchon-Romero, I.; Gonzalez-Alcaide, G.; Ramos-Rincón, J.-M. Epidemiological and Clinical Features in Very Old Men and Women (≥80 Years) Hospitalized with Aortic Stenosis in Spain, 2016–2019: Results from the Spanish Hospital Discharge Database. J. Clin. Med. 2022, 11, 5588. https://doi.org/10.3390/jcm11195588

AMA Style

Palacios-Fernandez S, Salcedo M, Belinchon-Romero I, Gonzalez-Alcaide G, Ramos-Rincón J-M. Epidemiological and Clinical Features in Very Old Men and Women (≥80 Years) Hospitalized with Aortic Stenosis in Spain, 2016–2019: Results from the Spanish Hospital Discharge Database. Journal of Clinical Medicine. 2022; 11(19):5588. https://doi.org/10.3390/jcm11195588

Chicago/Turabian Style

Palacios-Fernandez, Sergio, Mario Salcedo, Isabel Belinchon-Romero, Gregorio Gonzalez-Alcaide, and José-Manuel Ramos-Rincón. 2022. "Epidemiological and Clinical Features in Very Old Men and Women (≥80 Years) Hospitalized with Aortic Stenosis in Spain, 2016–2019: Results from the Spanish Hospital Discharge Database" Journal of Clinical Medicine 11, no. 19: 5588. https://doi.org/10.3390/jcm11195588

APA Style

Palacios-Fernandez, S., Salcedo, M., Belinchon-Romero, I., Gonzalez-Alcaide, G., & Ramos-Rincón, J.-M. (2022). Epidemiological and Clinical Features in Very Old Men and Women (≥80 Years) Hospitalized with Aortic Stenosis in Spain, 2016–2019: Results from the Spanish Hospital Discharge Database. Journal of Clinical Medicine, 11(19), 5588. https://doi.org/10.3390/jcm11195588

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop