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Frailty Status and ...
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Frantzen, Astri TafjordHaukeland University Hospital, Norway
(författare)
Frailty Status and Patient-Reported Outcomes in Octogenarians Following Transcatheter or Surgical Aortic Valve Replacement
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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Elsevier,2021
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:lnu-106678
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https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-106678URI
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https://doi.org/10.1016/j.hlc.2020.10.024DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Eide, Leslie S. P.Western Norway University of Applied Sciences, Norway
(författare)
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Fridlund, BengtLinnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Haukeland University Hospital, Norway,Ctr Interprofess Collaborat Emergency Care CICE(Swepub:lnu)bfiivosa
(författare)
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Haaverstad, RuneHaukeland University Hospital, Norway;University of Bergen, Norway
(författare)
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Hufthammer, Karl OveHaukeland University Hospital, Norway
(författare)
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Kuiper, Karel K. J.Haukeland University Hospital, Norway
(författare)
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Lauck, SandraSt. Paul's Hospital, Canada;University of British Columbia, Canada
(författare)
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Ranhoff, Anette H.University of Bergen, Norway
(författare)
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Rudolph, James L.Brown University, USA
(författare)
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Skaar, ElisabethHaukeland University Hospital, Norway
(författare)
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Norekvål, Tone M.Haukeland University Hospital, Norway;Western Norway University of Applied Sciences, Norway;University of Bergen, Norway
(författare)
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Haukeland University Hospital, NorwayWestern Norway University of Applied Sciences, Norway
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Heart, Lung and Circulation: Elsevier30:8, s. 1221-12311443-95061444-2892
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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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