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Frailty Status and ...
Frailty Status and Patient-Reported Outcomes in Octogenarians Following Transcatheter or Surgical Aortic Valve Replacement
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- Frantzen, Astri Tafjord (author)
- Haukeland University Hospital, Norway
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- Eide, Leslie S. P. (author)
- Western Norway University of Applied Sciences, Norway
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- Fridlund, Bengt (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Haukeland University Hospital, Norway,Ctr Interprofess Collaborat Emergency Care CICE
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- Haaverstad, Rune (author)
- Haukeland University Hospital, Norway;University of Bergen, Norway
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- Hufthammer, Karl Ove (author)
- Haukeland University Hospital, Norway
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- Kuiper, Karel K. J. (author)
- Haukeland University Hospital, Norway
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- Lauck, Sandra (author)
- St. Paul's Hospital, Canada;University of British Columbia, Canada
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- Ranhoff, Anette H. (author)
- University of Bergen, Norway
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- Rudolph, James L. (author)
- Brown University, USA
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- Skaar, Elisabeth (author)
- Haukeland University Hospital, Norway
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- Norekvål, Tone M. (author)
- 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
- English.
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In: Heart, Lung and Circulation. - : Elsevier. - 1443-9506 .- 1444-2892. ; 30:8, s. 1221-1231
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Frailty
- Octogenarians
- Aortic valve stenosis
- Health status
- Patient-reported outcome measures
- Transcatheter aortic valve implantation
- Surgical aortic valve replacement
- Omvårdnad
- Nursing
Publication and Content Type
- ref (subject category)
- art (subject category)
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Frantzen, Astri ...
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Eide, Leslie S. ...
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Fridlund, Bengt
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Haaverstad, Rune
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Hufthammer, Karl ...
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Kuiper, Karel K. ...
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Lauck, Sandra
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Ranhoff, Anette ...
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Rudolph, James L ...
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Skaar, Elisabeth
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Norekvål, Tone M ...
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- MEDICAL AND HEALTH SCIENCES
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Heart, Lung and ...
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Linnaeus University