Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes

Ramzi Ibrahim; Matthew Romero; Hoang Nhat Pham; Ahmed K. Mahmoud; Kristen A. Sell-Dottin; John P. Sweeney; F. David Fortuin; Eugene Yang; Kwan Lee; Said Alsidawi; Sadeer Al-Kindi; Chadi Ayoub; Reza Arsanjani

doi:10.1016/j.shj.2025.100789

Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes

Ramzi Ibrahim, Matthew Romero, Hoang Nhat Pham, Ahmed K. Mahmoud, Kristen A. Sell-Dottin, John P. Sweeney, F. David Fortuin, Eugene Yang, Kwan Lee, Said Alsidawi, Sadeer Al-Kindi, Chadi Ayoub, Reza Arsanjani

Research output: Contribution to journal › Article › peer-review

Abstract

•Z-codes identified transcatheter aortic valve replacement patients associated with higher cardiovascular risk.•Mortality was similar, but morbidity burden differed by Z-code status.•Findings support integrating social determinants of health data into transcatheter aortic valve replacement risk stratification.

Original language	English (US)
Article number	100789
Pages (from-to)	100789
Journal	Structural Heart
Volume	10
Issue number	3
DOIs	https://doi.org/10.1016/j.shj.2025.100789
State	Published - Mar 2026

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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Ibrahim, R., Romero, M., Pham, H. N., Mahmoud, A. K., Sell-Dottin, K. A., Sweeney, J. P., Fortuin, F. D., Yang, E., Lee, K., Alsidawi, S., Al-Kindi, S., Ayoub, C., & Arsanjani, R. (2026). Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes. Structural Heart, 10(3), 100789. Article 100789. https://doi.org/10.1016/j.shj.2025.100789

Ibrahim, R, Romero, M, Pham, HN, Mahmoud, AK, Sell-Dottin, KA, Sweeney, JP, Fortuin, FD, Yang, E, Lee, K, Alsidawi, S, Al-Kindi, S, Ayoub, C & Arsanjani, R 2026, 'Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes', Structural Heart, vol. 10, no. 3, 100789, pp. 100789. https://doi.org/10.1016/j.shj.2025.100789

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title = "Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes",

abstract = "•Z-codes identified transcatheter aortic valve replacement patients associated with higher cardiovascular risk.•Mortality was similar, but morbidity burden differed by Z-code status.•Findings support integrating social determinants of health data into transcatheter aortic valve replacement risk stratification.",

author = "Ramzi Ibrahim and Matthew Romero and Pham, \{Hoang Nhat\} and Mahmoud, \{Ahmed K.\} and Sell-Dottin, \{Kristen A.\} and Sweeney, \{John P.\} and Fortuin, \{F. David\} and Eugene Yang and Kwan Lee and Said Alsidawi and Sadeer Al-Kindi and Chadi Ayoub and Reza Arsanjani",

note = "{\textcopyright} 2025 The Authors.",

year = "2026",

month = mar,

doi = "10.1016/j.shj.2025.100789",

language = "English (US)",

volume = "10",

pages = "100789",

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T1 - Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes

AU - Ibrahim, Ramzi

AU - Romero, Matthew

AU - Pham, Hoang Nhat

AU - Mahmoud, Ahmed K.

AU - Sell-Dottin, Kristen A.

AU - Sweeney, John P.

AU - Fortuin, F. David

AU - Yang, Eugene

AU - Lee, Kwan

AU - Alsidawi, Said

AU - Al-Kindi, Sadeer

AU - Ayoub, Chadi

AU - Arsanjani, Reza

PY - 2026/3

Y1 - 2026/3

N2 - •Z-codes identified transcatheter aortic valve replacement patients associated with higher cardiovascular risk.•Mortality was similar, but morbidity burden differed by Z-code status.•Findings support integrating social determinants of health data into transcatheter aortic valve replacement risk stratification.

AB - •Z-codes identified transcatheter aortic valve replacement patients associated with higher cardiovascular risk.•Mortality was similar, but morbidity burden differed by Z-code status.•Findings support integrating social determinants of health data into transcatheter aortic valve replacement risk stratification.

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ER -

Impact of ICD-10-CM Z-Coded Social Determinants of Health on Transcatheter Aortic Valve Replacement–Related Outcomes

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