Abstract 10251: Aortic Stenosis Incidence, Management and Outcomes

BackgroundOperative management of aortic stenosis (AS) evolved over the last 20 years, and it is unknown how those advances changed outcomes and management of patients with AS. We aimed to define the incidence of AS in the State of New Jersey (NJ) and describe the operative management and outcomes of patients with AS.MethodsUsing the Myocardial Infarction Data Acquisition System (MIDAS) data repository, a database including all admissions with cardiovascular (CV) disease in NJ, we identified all AS admissions from 1995-2015 (ICD-9 395.0, 395.2, 424.1, 746.3). Procedures included surgical aortic valve repair (SAVR) (35.21, 35.22) and transcatheter aortic valve repair (TAVR) (35.05, 35.06). Outcomes included all-cause and CV death, and survival free of hospitalizations for AS, congestive heart failure (CHF), stroke (CVA), and myocardial infarction (MI) at 1 and 3 years after discharge if discharged alive.ResultsWe identified a total 17,318 patients with index hospitalization of AS as primary admitting diagnosis.A change in AS admissions incidence was identified in 2007 from 10.0/100,000 (CI 9.3-10.8) to 14.6/100,000 (CI 13.7-15.5) in 2015 (p=