Geriatric assessment for predicting outcomes among pati-ents with aortic stenosis undergoing transcatheter aortic val-ve implantation
Calvo E1
Castillo P2
Romaguera R3
Llaó I2
Zafrilla R2
Domene G2
Alegre O4
Lorente V4
Muntané-Carol G3
Formiga F5
de la Cuerda FJ4
Gomez Hospital JA6
Ariza-Solè A7
1.Department of Cardiology,Bellvitge University Hospital,Spain;Faculty of nursing,University of Barcelona,Spain;Ciber cardiovascular group(CIBER-CV),Instituto de Salud Carlos Ⅲ,Spain;Nursing research group(GRIN)from the Bellvitge Institute of Biomedical Research(IDIBELL),Spain2.Department of Cardiology,Bellvitge University Hospital,Spain3.Department of Cardiology,Bellvitge University Hospital,Spain;Ciber cardiovascular group(CIBER-CV),Instituto de Salud Carlos Ⅲ,Spain;BIO-HEART,Cardiovascular Diseases Research Group Group from the Bellvitge Institute of Biomedical Research(IDIBELL),Spain4.Department of Cardiology,Bellvitge University Hospital,Spain;BIO-HEART,Cardiovascular Diseases Research Group Group from the Bellvitge Institute of Biomedical Research(IDIBELL),Spain5.Geriatric Unit.Internal Medicine,Bellvitge University Hospital,Spain6.Department of Cardiology,Bellvitge University Hospital,Spain;Ciber cardiovascular group(CIBER-CV),Instituto de Salud Carlos Ⅲ,Spain;BIO-HEART,Cardiovascular Diseases Research Group Group from the Bellvitge Institute of Biomedical Research(IDIBELL),Spain;Faculty of Medicine,University of Barcelona,Spain7.Department of Cardiology,Bellvitge University Hospital,Spain;BIO-HEART,Cardiovascular Diseases Research Group Group from the Bellvitge Institute of Biomedical Research(IDIBELL),Spain;Faculty of Medicine,University of Barcelona,Spain
摘要：Background There is scarce data about comparisons between geriatric assessment tools in patients with aortic stenosis(AS).We aimed to describe the geriatric profile of patients with AS undergoing transcatheter aortic valve implantation(TAVI)and to analyze the ability of different tools for predicting clinical outcomes in this context.
Methods This was a single center retrospective registry including patients with AS undergoing TAVI and surviving to hospital discharge.The primary endpoint was all-cause mortality or need for urgent readmission one year after TAVI.
Results A total of 377 patients were included(mean age of 80.4 years).Most patients were independent or mildly dependent,with an optimal cognitive status.The proportion of frailty ranged from 17.6％to 49.8％.A total of 20 patients(5.3％)died and 110/377 patients(29.2％)died or were readmitted during follow up.Overall,most components of the geriatric assessment showed an association with clinical outcomes.Disability for instrumental activities showed a significant association with mortal-ity and a strong association with the rate of mortality or readmission.The association between frailty and clinical outcomes was higher for short physical performance battery(SPPB),essential frailty toolset(EFT)and the frailty index based on comprehensive geriatric assessment(IF-VIG)and lower for Fried criteria and FRAIL scale.
Conclusions AS patients from this series presented a good physical performance,optimal cognitive status and a reasonably low prevalence of frailty.The best predictive ability was observed for disability for instrumental activities and frailty as meas-ured by the EFT,SPPB and the IF-VIG.
机标关键词：withamongaorticassessmentgeriatricimplantationoutcomespati-ents
论文发表日期：2025-05-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：9( 516-524 )