The impact of frailty in aortic valve surgery
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...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-020-01716-3 |
| _version_ | 1818271506436718592 |
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| author | Elisabet Berastegui Garcia Maria Luisa Camara Rosell Enrique Moret Ruiz Irma Casas Garcia Sara Badia Gamarra Claudio Fernandez Gallego Luis Delgado Ramis Ignasi Julia Almill Anna Llorens Ferrer Bernat Romero Ferrer Antoni Bayes Genis Christian Muñoz Guijosa |
| author_facet | Elisabet Berastegui Garcia Maria Luisa Camara Rosell Enrique Moret Ruiz Irma Casas Garcia Sara Badia Gamarra Claudio Fernandez Gallego Luis Delgado Ramis Ignasi Julia Almill Anna Llorens Ferrer Bernat Romero Ferrer Antoni Bayes Genis Christian Muñoz Guijosa |
| author_sort | Elisabet Berastegui Garcia |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T21:27:15Z |
| format | Article |
| id | doaj.art-4ed627cee03646469a5ee805bfccb588 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-12T21:27:15Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-4ed627cee03646469a5ee805bfccb5882022-12-22T00:11:26ZengBMCBMC Geriatrics1471-23182020-10-0120111010.1186/s12877-020-01716-3The impact of frailty in aortic valve surgeryElisabet Berastegui Garcia0Maria Luisa Camara Rosell1Enrique Moret Ruiz2Irma Casas Garcia3Sara Badia Gamarra4Claudio Fernandez Gallego5Luis Delgado Ramis6Ignasi Julia Almill7Anna Llorens Ferrer8Bernat Romero Ferrer9Antoni Bayes Genis10Christian Muñoz Guijosa11Cardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolAnesthesiology Department, Hospital Universitari Germans Trias i PujolPreventive Medicine Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolCardiovascular Institut, Hospital Universitari Germans Trias I PujolCardiac Surgery Department, Hospital Universitari Germans Trias i PujolAbstract 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.http://link.springer.com/article/10.1186/s12877-020-01716-3Aortic valve replacementFrailtyRisk scales |
| spellingShingle | Elisabet Berastegui Garcia Maria Luisa Camara Rosell Enrique Moret Ruiz Irma Casas Garcia Sara Badia Gamarra Claudio Fernandez Gallego Luis Delgado Ramis Ignasi Julia Almill Anna Llorens Ferrer Bernat Romero Ferrer Antoni Bayes Genis Christian Muñoz Guijosa The impact of frailty in aortic valve surgery BMC Geriatrics Aortic valve replacement Frailty Risk scales |
| title | The impact of frailty in aortic valve surgery |
| title_full | The impact of frailty in aortic valve surgery |
| title_fullStr | The impact of frailty in aortic valve surgery |
| title_full_unstemmed | The impact of frailty in aortic valve surgery |
| title_short | The impact of frailty in aortic valve surgery |
| title_sort | impact of frailty in aortic valve surgery |
| topic | Aortic valve replacement Frailty Risk scales |
| url | http://link.springer.com/article/10.1186/s12877-020-01716-3 |
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