A Practical Two-Stage Frailty Assessment for Older Adults Undergoing Aortic Valve Replacement.

ABSTRACT:

Objectives

Despite evidence, frailty is not routinely assessed before cardiac surgery. We compared five brief frailty tests for predicting poor outcomes after aortic valve replacement and evaluated a strategy of performing comprehensive geriatric assessment (CGA) in screen-positive patients.

Design

Prospective cohort study.

Setting

A single academic center.

Participants

Patients undergoing surgical aortic valve replacement (SAVR) (n = 91; mean age = 77.8 y) or transcatheter aortic valve replacement (TAVR) (n = 137; mean age = 84.5 y) from February 2014 to June 2017.

Measurements

Brief frailty tests (Fatigue, Resistance, Ambulation, Illness, and Loss of weight [FRAIL] scale; Clinical Frailty Scale; grip strength; gait speed; and chair rise) and a deficit-

SUBMITTER: Hosler QP 

PROVIDER: S-EPMC6800747 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature