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Association between...
Association between frailty and self-reported health following heart valve surgery
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- Borregaard, Britt (författare)
- Odense Univ Hosp, Denmark; Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark
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- Dahl, Jordi S. (författare)
- Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark
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- Lauck, Sandra B. (författare)
- St Pauls Hosp, Canada; Univ British Columbia, Canada
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- Ryg, Jesper (författare)
- Univ Southern Denmark, Denmark; Odense Univ Hosp, Denmark
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- Berg, Selina K. (författare)
- Univ Copenhagen, Denmark; Copenhagen Univ Hosp, Denmark
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- Ekholm, Ola (författare)
- Univ Southern Denmark, Denmark
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- Hendriks, Jeroen (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Royal Adelaide Hosp, Australia; Flinders Univ S Australia, Australia
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- Riber, Lars P. S. (författare)
- Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark
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- Norekval, Tone M. (författare)
- Haukeland Hosp, Norway; Univ Bergen, Norway; Western Norway Univ Appl Sci, Norway
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- Moller, Jacob E. (författare)
- Odense Univ Hosp, Denmark; Univ Southern Denmark, Denmark; Copenhagen Univ Hosp, Denmark
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(creator_code:org_t)
- ELSEVIER IRELAND LTD, 2020
- 2020
- Engelska.
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Ingår i: IJC Heart & Vasculature. - : ELSEVIER IRELAND LTD. - 2352-9067. ; 31
- Relaterad länk:
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https://doi.org/10.1...
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https://liu.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Knowledge about the association between frailty and self-reported health among patients undergoing heart valve surgery remains sparse. Thus, the objectives were to I) describe changes in self-reported health at different time points according to frailty status, and to II) investigate the association between frailty status at discharge and poor self-reported health four weeks after discharge among patients undergoing heart valve surgery. Methods: In a prospective cohort study, consecutive patients undergoing heart valve surgery, including transapical/transaortic valve procedures were included. Frailty was measured using the Fried score, and self-reported health using the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the EuroQoL-5 Dimensions 5-Levels Health Status Questionnaire (EQ-5D-5L). To investigate the association between frailty and self-reported health, multivariable logistic regression models were used. Analyses were adjusted for sex, age, surgical risk evaluation (EuroScore) and procedure and presented as odds ratios (OR) with 95% confidence intervals (CI). Results: Frailty was assessed at discharge in 288 patients (median age 71, 69% men); 51 patients (18%) were frail. In the multivariable analyses, frailty at discharge remained significantly associated with poor self-reported health at four weeks, OR (95% CI): EQ-5D-5L Index 3.38 (1.51-7.52), VAS 2.41 (1.13-5.14), and KCCQ 2.84 (1.35-5.97). Conclusion: Frailty is present at discharge in 18% of patients undergoing heart valve surgery, and being frail is associated with poor self-reported health at four weeks of follow-up. This supports a clinical need to address the unique risk of frail patients among heart valve teams broadly, and not only to measure frailty as a marker of operative risk. (C) 2020 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Cell- och molekylärbiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Cell and Molecular Biology (hsv//eng)
Nyckelord
- Heart valves; Cardiac surgery; Frailty; Health-related quality of life
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Borregaard, Brit ...
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Dahl, Jordi S.
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Lauck, Sandra B.
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Ryg, Jesper
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Berg, Selina K.
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Ekholm, Ola
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visa fler...
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Hendriks, Jeroen
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Riber, Lars P. S ...
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Norekval, Tone M ...
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Moller, Jacob E.
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- MEDICIN OCH HÄLSOVETENSKAP
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IJC Heart & Vasc ...
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Linköpings universitet