Evidence map›Paper›PMID 40885904›Full record

Observational studyBMC cardiovascular disorders2025

Predicting one-year outcomes after TAVI: evidence from a two-site Swiss registry.

Charlie Ferry, Dorian Garin, Roberto Corti, Aurélien Clerc, Mario Togni, Peter Wenaweser, Stefan Stortecky, Stephane Cook

Abstract readMulticenter StudyObservational StudyValidation Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Transcatheter aortic valve implantation: latest evidence, gaps in knowledge, and future directions.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Charlie FerryDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland. charlie.ferry@unifr.ch.
Dorian GarinDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland.
Roberto CortiSwiss Heart Clinic, Hirslanden, Zurich, Switzerland.
Aurélien ClercDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland.
Mario TogniDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland.
Peter WenaweserDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland.
Stefan StorteckyUniversity Hospital, Inselspital, Bern, Switzerland.
Stephane CookDepartment of Cardiology, University & Hospital Fribourg, Fribourg, 1708, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients undergoing transcatheter aortic valve implantation (TAVI) is rising. While TAVI improves survival, symptoms, and quality of life, ESC guidelines highlight the lack of validated tools to predict futile outcomes. Around 20% of intermediate- and high-risk patients die within one-year post-TAVI, underscoring the need for robust risk stratification.

objectivesTo develop and validate a multivariable model predicting one-year mortality after TAVI, using real-world data from two Swiss centers.

methodsWe analysed 2,053 patients who underwent TAVI between 2014 and 2022 at two centers in the Swiss TAVI Registry. The primary endpoint was all-cause mortality at one-year. Candidate variables were selected based on a 2024 scoping review, clinical expertise, and data availability. Variables associated with mortality (p < 0.2) in univariate Cox regression were included in a multivariate Cox model. Model performance was evaluated using ROC curves and Youden's index.

resultsAt 30 days, independent predictors of mortality were reduced left ventricular ejection fraction, COPD, peripheral artery disease, and age. At one-year, mortality was associated with atrial fibrillation, lower LVEF, mitral regurgitation grade, age, corticosteroid use, coronary artery disease, insulin-dependent diabetes, and reduced glomerular filtration rate. The model achieved an AUC of 0.814 for 30-day mortality and 0.763 at one-year, outperforming the STS score for short-term prediction (AUC 0.785).

conclusionThis study demonstrates the feasibility of building a one-year mortality prediction model after TAVI using standard clinical variables. With 2,053 patients from two centers, the model is a promising step toward Swiss-specific risk tools. Incorporating frailty or functional status may further improve performance. This model may support heart teams in shared decision-making.

Indexed as

Aortic ValveAortic Valve StenosisDecision Support TechniquesRegistriesTranscatheter Aortic Valve ReplacementAgedAged, 80 and overClinical Decision-MakingFemaleHumansMalePredictive Value of TestsProspective StudiesReproducibility of ResultsRisk AssessmentRisk FactorsFrailtyFutilityMedical predicting modelOutcomesTAVI

Identifiers

PMID40885904
PMCPMC12398041

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.