Evolution of Basic Activities of Daily Living Function in Older Patients One Year After Transcatheter Aortic Valve Implantation.
Dominic BertschiAndré MoserStefan StorteckyMarcel ZwahlenStephan WindeckerThierry CarrelAndreas E StuckAndreas W SchoenenbergerPublished in: Journal of the American Geriatrics Society (2020)
This study confirms that a frailty index, and not cardiac risk scores, identifies patients at an increased risk of functional status decline after TAVI. Identifying patients with a high frailty index before TAVI is clinically relevant as these patients might benefit from targeted geriatric management and rehabilitation after TAVI. However, based on current data, it is not justified to use information on frailty status as the criterion for identifying patients in whom TAVI might be futile. Although the probability of poor outcome is high, very frail patients also have a high probability of favorable long-term functional outcome.
Keyphrases
- transcatheter aortic valve implantation
- end stage renal disease
- ejection fraction
- aortic valve
- aortic stenosis
- newly diagnosed
- chronic kidney disease
- transcatheter aortic valve replacement
- peritoneal dialysis
- prognostic factors
- aortic valve replacement
- drug delivery
- patient reported outcomes
- genome wide
- dna methylation
- electronic health record