Outcomes and quality of life after aortic valve surgery in octogenarians

2019 ◽  
Vol 35 (2) ◽  
pp. 341-344
Author(s):  
Aikaterini Gavalaki ◽  
Antonios Roussakis ◽  
Panagiotis Zoubourlis ◽  
Constantinos Contrafouris ◽  
Dimitrios Zarkalis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Surgery In Octogenarians

scholarly journals The impact of frailty in aortic valve surgery. 

2020 ◽  
Author(s):  
elisabet berastegui ◽  
Maria Luisa CAmara ◽  
Enrique Moret ◽  
Irma Casas ◽  
Sara Badia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Geriatric Syndrome ◽  
Aortic Valve Surgery ◽  
Surgical Risk ◽  
Scale Scores ◽  
The Impact

Abstract Background: Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and individual features of frailty in cardiac aortic valve surgery. Methods: Prospective study. From May-2014 to February-2016, we collected 200 patients who underwent aortic valve replacement, either surgically or transcatheter. At 1-year follow-up, quality of life measurements were recorded using the EQ-5D (EuroQol). Univariate and multivariate analyses correlated preoperative condition, features of frailty and predicted risk scores with mortality, morbidity and quality of life at 1 year of follow-up. Results: Mean age 78.2y, 56%male. Mean-preoperative-scores: FRAIL scale 1.5(SD 1.02), STS 2.9(SD 1.13), BI 93.8(SD 7.3), ESlog I 12.8(SD 8.5) and GS 7.3s (SD 1.9). Morbidity at discharge, 6 m and 1 year was 51%, 14% and 28%. Mortality 4%. Survival at 6m/ 1-y was 97% / 88%. Complication-rate was higher in TAVI group due to-vascular complications. Renal dysfunction, anemia, social dependence and GS slower than 7 seconds were associated with morbidity. On multivariate analysis adjusted STS, BI and GS speed were statistically significant. Quality of life at 1-year follow-up adjusted for age and prosthesis type showed a significant association with STS and FRAIL scale scores. Conclusions: Frailty increases surgical risk and is associated with higher morbidity. Preoperative GS slower 7 s, and STS and FRAIL scale scores seem to be reliable predictors of quality of life at 1-year follow-up.

scholarly journals Quality of life after aortic valve surgery: Replacement versus reconstruction

2011 ◽  
Vol 142 (2) ◽  
pp. e19-e24 ◽  
Author(s):  
Diana Aicher ◽  
Annika Holz ◽  
Susanne Feldner ◽  
Volker Köllner ◽  
Hans-Joachim Schäfers
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery

scholarly journals The impact of frailty in aortic valve surgery

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elisabet Berastegui Garcia ◽  
Maria Luisa Camara Rosell ◽  
Enrique Moret Ruiz ◽  
Irma Casas Garcia ◽  
Sara Badia Gamarra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Geriatric Syndrome ◽  
Aortic Valve Surgery ◽  
Surgical Risk ◽  
Scale Scores ◽  
The Impact

Abstract Background Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and individual features of frailty in cardiac aortic valve surgery. Methods Prospective study. From May-2014 to February-2016, we collected 200 patients who underwent aortic valve replacement, either surgically or transcatheter. At 1-year follow-up, quality of life measurements were recorded using the EQ-5D (EuroQol). Univariate and multivariate analyses correlated preoperative condition, features of frailty and predicted risk scores with mortality, morbidity and quality of life at 1 year of follow-up. Results Mean age 78.2y, 56%male. Mean-preoperative-scores: FRAIL scale 1.5(SD 1.02), STS 2.9(SD 1.13), BI 93.8(SD 7.3), ESlog I 12.8(SD 8.5) and GS 7.3 s (SD 1.9). Morbidity at discharge, 6 m and 1 year was 51, 14 and 28%. Mortality 4%. Survival at 6 m/ 1-y was 97% / 88%. Complication-rate was higher in TAVI group due to-vascular complications. Renal dysfunction, anemia, social dependence and GS slower than 7 s were associated with morbidity. On multivariate analysis adjusted STS, BI and GS speed were statistically significant. Quality of life at 1-year follow-up adjusted for age and prosthesis type showed a significant association with STS and FRAIL scale scores. Conclusions Frailty increases surgical risk and is associated with higher morbidity. Preoperative GS slower 7 s, and STS and FRAIL scale scores seem to be reliable predictors of quality of life at 1-year follow-up.

scholarly journals Aortic valve surgery in octogenarians: predictive factors for operative and long-term results

2007 ◽  
Vol 31 (4) ◽  
pp. 600-606 ◽  
Author(s):  
Philippe Kolh ◽  
Arnaud Kerzmann ◽  
Charles Honore ◽  
Laetitia Comte ◽  
Raymond Limet
Keyword(s):  
Aortic Valve ◽  
Predictive Factors ◽  
Valve Surgery ◽  
Long Term Results ◽  
Aortic Valve Surgery ◽  
Surgery In Octogenarians

scholarly journals Mitral valve surgery in octogenarians: should we fight for repair? A survival and quality-of-life assessment

2011 ◽  
Vol 39 (6) ◽  
pp. 875-880 ◽  
Author(s):  
Joseph Nloga ◽  
Roland Hénaine ◽  
Mathieu Vergnat ◽  
Fabrice Wautot ◽  
Olivier Desebbe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Life Assessment ◽  
Quality Of Life Assessment ◽  
Surgery In Octogenarians

scholarly journals Assessing surgical risk for aortic valve surgery in octogenarians: a comparison of three risk calculators

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. 4436-4436
Author(s):  
J. Sathananthan ◽  
T. Wang ◽  
M. Lee ◽  
P. Ruygrok ◽  
M. Webster
Keyword(s):  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Surgical Risk ◽  
Surgery In Octogenarians

Mitral valve surgery in octogenarians: Outcome and quality of life

2008 ◽  
Vol 56 (S 1) ◽  
Author(s):  
M Krane ◽  
B Voss ◽  
A Hiebinger ◽  
M Wottke ◽  
R Bauernschmitt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Surgery In Octogenarians

Aortic valve surgery in octogenarians: Risk factors and long-term impact

2015 ◽  
Vol 215 (3) ◽  
pp. 148-155
Author(s):  
Y. Carrascal ◽  
H. Valenzuela ◽  
G. Laguna ◽  
P. Pareja ◽  
M. Blanco ◽  
...  
Keyword(s):  
Risk Factors ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Long Term Impact ◽  
Surgery In Octogenarians
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