Improvement of quality of life following transcatheter aortic valve implantation in the elderly: a multi-centre study based on the Polish national TAVI registry
| Autor: | Aleksandra Stańska, Adam Witkowski, Wojciech Wojakowski, Janusz Kochman, Maciej Brzeziński, Dariusz Jagielak, Marian Zembala, Michał Zembala, Zenon Huczek |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Risk medicine.medical_specialty Logistic euroscore Transcatheter aortic Pain 030204 cardiovascular system & hematology Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires medicine Humans Registries 030212 general & internal medicine Multi centre Depression (differential diagnoses) Aged 80 and over Depression business.industry Aortic Valve Stenosis medicine.disease Surgery Stenosis Treatment Outcome Aortic valve stenosis Quality of Life Anxiety Female Poland medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Kardiologia Polska. 75:13-20 |
| ISSN: | 1897-4279 0022-9032 |
| DOI: | 10.5603/kp.a2016.0164 |
| Popis: | Background: Transcatheter aortic valve implantation (TAVI) is an effective therapeutic method for elderly high-risk patients with symptomatic severe aortic stenosis, not eligible for surgical treatment. Aim: The aim of the study was to evaluate short-term changes in elderly people’s quality of life following TAVI, based on the POL-TAVI registry. Methods: One hundred and eighty-four octogenarians’ and nonagenarians’ samples from the POL-TAVI database were included in the study. The quality of life status was assessed with EQ-5D-3L questionnaire at baseline and after one-month follow-up. Results: The mean of patients’ age was 84 (80–93) years. Logistic EuroSCORE mean was 19.83% (3.48–83.94%), and transaortic mean gradient was 54.99 (19.0–149.0) mm Hg. At baseline, up to 24.50% of patients declared severe problems in performing usual activities. 13.60% felt extreme pain or discomfort; 9.80% were unable to wash and dress by themselves; 8.20% were extremely anxious or depressed; and 7.10% of the patients in the study were confined to bed. After 30 days the percentage of patients declaring severe problems in each dimension did not exceed 4.00%. The comparison between quality of life data at baseline and after one-month follow-up showed a significant improvement in each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression (p < 0.001). Patients’ quality of life was increasing regardless of gender (female vs . male), the type of anaesthesia (general vs . local), and the type of procedure (TA vs . TF). Conclusions: Short-term quality of life in the elderly subjects was significantly improved after one-month follow-up following TAVI. |
| Databáze: | OpenAIRE |
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