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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Frailty after aortic valve replacement (AVR) in octogenarians
Jean-Michel Maillet1, Dominique Somme, Elisabeth Hennel
1Centre Cardiologique du Nord, Service de chirurgie cardiaque, 32 rue des Moulins Gémeaux, 93200 Saint-Denis, France. jm.maillet@ccncardio.com
Archives of Gerontology and Geriatrics
|May 6, 2008
Summary
Aortic valve replacement (AVR) in octogenarians shows good survival, but patients remain frail. Frailty markers significantly impact quality of life after AVR, suggesting a need for geriatric care.
Area of Science:
- Cardiac Surgery
- Geriatric Medicine
- Quality of Life Research
Background:
- Octogenarians undergoing aortic valve replacement (AVR) represent a growing patient demographic.
- Assessing long-term quality of life (QoL) and frailty is crucial for this elderly population post-AVR.
Purpose of the Study:
- To analyze the quality of life (QoL) and frailty status in octogenarians following aortic valve replacement (AVR).
- To evaluate the impact of frailty markers on QoL and self-rated health in this cohort.
Main Methods:
- Retrospective study of 84 patients over 80 years old who underwent AVR between April 1998 and December 2001.
- Follow-up via telephonic interview in May 2002 assessed self-rated QoL, health, and frailty markers (falls, ADL, mood disorder).
- Survival analysis and correlation of frailty markers with QoL and health outcomes.
Main Results:
- In-hospital mortality was 16.7%; 3-year survival was 68.6%.
- Post-AVR, 73.2% were in NYHA classes I-II for dyspnea, and 75.0% were angina-free.
- 85.7% had at least one frailty marker (falls, ADL dependency, or depression), which correlated with QoL but not self-rated health.
Conclusions:
- Aortic valve replacement (AVR) in octogenarians is associated with favorable survival and functional outcomes.
- The high prevalence of frailty significantly impacts QoL in this population.
- Further research is warranted to explore the benefits of pre- and postoperative geriatric interventions for AVR patients.
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