Medical graphics to improve patient understanding and anxiety in elderly and cognitively impaired patients scheduled for transcatheter aortic valve implantation (TAVI).
Karl StanglC HornigC CrayenA HamannS MartineckD M LeistnerH DregerS SündermannA UnbehaunM SherifA HaghikiaS BischoffJ LuegY KühnleO PaulS SquierK StanglV FalkU LandmesserV StanglPublished in: Clinical research in cardiology : official journal of the German Cardiac Society (2023)
Our results prove beneficial effects for using medical graphics to inform elderly patients about TAVI by improving patient understanding and reducing periprocedural anxiety (DRKS00021661; 23/Oct/2020). Medical graphics entailed significant beneficial effects on the primary endpoints, patient understanding and periprocedural anxiety, compared to the usual patient informed consent (IC) procedure. Patient understanding of IC-related aspects was significantly higher in the Comic group, with a more pronounced benefit in patients with cognitive impairment (p for IC method and cognitive status < 0.001, respectively; p for IC method x MoCA category interaction = 0.017). There further was a significant decline of periprocedural anxiety in patients with and without cognitive impairment (p for IC method x measuring time point < 0.001; p for IC method x MoCA category x measuring time point interaction = 0.018).
Keyphrases
- transcatheter aortic valve implantation
- case report
- cognitive impairment
- aortic valve
- healthcare
- aortic stenosis
- aortic valve replacement
- sleep quality
- percutaneous coronary intervention
- ejection fraction
- transcatheter aortic valve replacement
- minimally invasive
- prognostic factors
- patient reported outcomes
- physical activity
- catheter ablation
- drug induced