Surgery for rheumatic heart disease in the Northern Territory, Australia, 1997-2016: what have we gained?

For patients surviving the perioperative period, chronic kidney disease (HR 6.4 (95% CI: 2.9 to 14.3) p=<0.001) and severe pulmonary hypertension (HR 1.9 (95% CI: 1.1 to 3.1) p=0.01) were independently associated with subsequent death; the association between death and coronary artery disease failed to reach statistical significance (HR 2.7 (95% CI: 1.0 to 7.6) p=0.06) ( online supplemental table 3 ). 10.1136/bmjgh-2023-011763.supp5 Supplementary data Comparison with historical cohorts The 10-year survival of the 173 patients who had valve replacement between 1997 and 2016 was compared with that of the 81 patients from the region who had valve replacements between 1964 and 1996 (70/80 (87%) of whom were Aboriginal) ( table 4 ).

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