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Sökning: id:"swepub:oai:DiVA.org:lnu-106678" > Frailty Status and ...

Frailty Status and Patient-Reported Outcomes in Octogenarians Following Transcatheter or Surgical Aortic Valve Replacement

Frantzen, Astri Tafjord (författare)
Haukeland University Hospital, Norway
Eide, Leslie S. P. (författare)
Western Norway University of Applied Sciences, Norway
Fridlund, Bengt (författare)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Haukeland University Hospital, Norway,Ctr Interprofess Collaborat Emergency Care CICE
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Haaverstad, Rune (författare)
Haukeland University Hospital, Norway;University of Bergen, Norway
Hufthammer, Karl Ove (författare)
Haukeland University Hospital, Norway
Kuiper, Karel K. J. (författare)
Haukeland University Hospital, Norway
Lauck, Sandra (författare)
St. Paul's Hospital, Canada;University of British Columbia, Canada
Ranhoff, Anette H. (författare)
University of Bergen, Norway
Rudolph, James L. (författare)
Brown University, USA
Skaar, Elisabeth (författare)
Haukeland University Hospital, Norway
Norekvål, Tone M. (författare)
Haukeland University Hospital, Norway;Western Norway University of Applied Sciences, Norway;University of Bergen, Norway
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 (creator_code:org_t)
Elsevier, 2021
2021
Engelska.
Ingår i: Heart, Lung and Circulation. - : Elsevier. - 1443-9506 .- 1444-2892. ; 30:8, s. 1221-1231
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BackgroundFrailty status and patient-reported outcomes are especially pertinent in octogenarians following transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) to guide treatment decisions and promote patient-centred care.AimWe aimed to determine if frailty changed 6 months after aortic valve replacement (AVR) in octogenarians, and to describe changes in self-rated health according to frailty status in patients who underwent TAVI or SAVR.MethodIn a prospective cohort study, frailty and self-rated health were measured one day prior to and 6 months after AVR. Frailty status was measured with the Study of Osteoporotic Fracture index. Self-rated health was measured comprehensively with the disease-specific Minnesota Living with Heart Failure Questionnaire, the generic Medical Outcomes Study Short Form-12 questionnaire (SF-12), and two global questions from The World Health Organization Quality of Life Instrument Abbreviated.ResultsData were available for 143 consecutive patients (mean age 83 +/- 2.7 years, 57% women; 45% underwent TAVI). At baseline, 34% were robust, 27% prefrail, and 39% frail. Overall, there was no change in the distribution of frailty status 6 months after baseline (p=0.13). However, on an individual level 65 patients changed frailty status after AVR (40 patients improved and 25 declined). Improvement in frailty status was common in prefrail (33%; n=13) and frail patients (48%; n=27). Patients had improved self-rated health after AVR, with significant differences between frailty states both at baseline (SF-12 physical: 37.4 [robust], 33.1 [prefrail], 31.6 [frail], p=0.03); SF-12 mental: 51.9 [robust], 50.8 [prefrail], 44.5 [frail], p<0.001); and at the 6-month follow-up (SF-12 physical: 45.4 [robust], 38.3 [prefrail], 32.1 [frail], p<0.001); SF-12 mental: 54.9 [robust], 49.6 [prefrail], 46.8 [frail], p=0.002).ConclusionsAdvanced treatment performed in a high-risk population allowed people to improve their self-rated health. Although frailty is associated with poor self-rated health, frailty status does not equal negative outcomes. The frail patients were those who improved most in self-rated physical and mental health. They had the lowest baseline self-rated health scores and had therefore the most to gain.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Frailty
Octogenarians
Aortic valve stenosis
Health status
Patient-reported outcome measures
Transcatheter aortic valve implantation
Surgical aortic valve replacement
Omvårdnad
Nursing

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