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Updated: Apr 7, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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Distressed Communities Have Worse Long-Term Survival After Aortic Valve Replacement
Divyaam Satija1, Christopher Rutter1, Pierre Mansour1
1Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Journal of Surgical Research
|April 5, 2026
Summary
Patients in distressed communities (high Distressed Communities Index scores) face worse outcomes after surgical aortic valve replacement (SAVR). This highlights the need for targeted care strategies to improve survival for these high-risk populations.
Area of Science:
- Cardiovascular Surgery
- Health Services Research
- Socioeconomic Determinants of Health
Background:
- Socioeconomic status significantly impacts patient outcomes after cardiac surgery.
- The Distressed Communities Index (DCI) offers a comprehensive measure of economic well-being.
- Understanding the DCI's role in surgical outcomes is crucial for equitable care.
Purpose of the Study:
- To investigate the association between Distressed Communities Index (DCI) scores and clinical outcomes following surgical aortic valve replacement (SAVR).
- To determine if DCI is an independent predictor of mortality after SAVR.
Main Methods:
- Retrospective review of 746 patients undergoing SAVR from 2012-2020.
- Patients categorized into distressed (DCI>80) and nondistressed (DCI ≤ 80) groups.
- 1:1 propensity score matching, Kaplan-Meier, conditional survival, and multivariable Cox regression analyses were performed.
Main Results:
- Distressed group had lower median age and higher STS risk scores pre-matching.
- Kaplan-Meier analysis showed significantly higher mortality in the distressed group (P=0.0004 pre-match, P=0.03 post-match).
- Multivariable Cox regression confirmed DCI>80 as an independent predictor of increased mortality.
Conclusions:
- Distressed DCI scores are linked to poorer clinical outcomes and increased mortality post-SAVR.
- These findings underscore the need for tailored patient care and risk stratification tools.
- DCI can aid in identifying high-risk populations for improved post-discharge planning and outcomes.
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