老年人的评估,以预测患有大动脉狭窄症的患者进行跨导管大动脉植入的结果
Calvo E1,2,3,4, Castillo P1, Romaguera R1,3,5
1Department of Cardiology, Bellvitge University Hospital, Spain.
Journal of geriatric cardiology : JGC
|July 3, 2025
概括
老年人的评估工具有效地预测了接受TAVI的大动脉狭窄患者的结果. 通过EFT,SPPB和IF-VIG测量的残疾和脆弱性显示出死亡率和再接收的最强的预测能力.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 对于大动脉狭窄 (AS) 患者的老年评估工具,存在有限的比较数据.
- 过导管大动脉植入 (TAVI) 是AS的常见干预措施.
研究的目的:
- 描述接受TAVI治疗的AS患者的老年病状.
- 评估各种老年医疗工具对TAVI后临床结果的预测能力.
主要方法:
- 377名接受TAVI治疗的AS患者的回顾性注册,这些患者在住院后幸存下来.
- 主要终点:所有原因的死亡率或TAVI后一年内紧急再入院.
主要成果:
- 大多数患者具有良好的功能和认知状态;虚弱的患病率各不相同 (17.6%-49.8%).
- 在工具性活动中的残疾强烈预测死亡率和再接收.
- 基本脆弱性工具集 (EFT),短物理性能电池 (SPPB) 和脆弱性指数 (IF-VIG) 与弗里德标准和FRAIL尺度相比显示出优异的脆弱性预测.
结论:
- 在这个队列中接受TAVI的AS患者表现出良好的身体和认知功能.
- 残疾和虚弱,特别是通过EFT,SPPB和IF-VIG进行评估时,是TAVI后不良结果的关键预测因素.
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