PMID- 18456353
OWN - NLM
STAT- MEDLINE
DCOM- 20090722
LR  - 20151119
IS  - 1872-6976 (Electronic)
IS  - 0167-4943 (Linking)
VI  - 48
IP  - 3
DP  - 2009 May-Jun
TI  - Frailty after aortic valve replacement (AVR) in octogenarians.
PG  - 391-6
LID - 10.1016/j.archger.2008.03.010 [doi]
AB  - In order to analyze the quality of life (QoL) or frailty after AVR for 
      octogenarians, we studied 84 patients older than 80 years who underwent aortic 
      valve replacement alone or in combination with coronary artery bypass, between 
      April 1998 and December 2001. Follow-up was performed in May 2002 with a 
      telephonic interview to evaluate the self-rated QoL, health, and three frailty 
      markers: falls, activity of daily living (ADL) and mood disorder. In-hospital 
      mortality was 16.7%. Fourteen deaths occurred during the follow-up: survival 
      estimates were 85.5% at 1 year and 68.6% at 3 years. Forty-one patients (73.2%) 
      were in New York Heart Association (NYHA) classes I-II for dyspnea and 42 
      patients (75.0%) were free of angina. Fifty-one patients (91.1%) lived in their 
      own homes. Forty-eight (85.7%) had at least one frailty marker: falls (26.8%), 
      loss of autonomy for ADL (27.0%) or suspected depression (20.2%). All frailty 
      markers were associated with self-rated QoL but not with self-rated health. AVR 
      for octogenarians is associated with good outcome but this population is frail 
      and further studies should assess the usefulness of pre- and postoperative 
      geriatric approach.
FAU - Maillet, Jean-Michel
AU  - Maillet JM
AD  - Centre Cardiologique du Nord, Service de chirurgie cardiaque, 32 rue des Moulins 
      Gemeaux, 93200 Saint-Denis, France. jm.maillet@ccncardio.com
FAU - Somme, Dominique
AU  - Somme D
FAU - Hennel, Elisabeth
AU  - Hennel E
FAU - Lessana, Arrigo
AU  - Lessana A
FAU - Saint-Jean, Olivier
AU  - Saint-Jean O
FAU - Brodaty, Denis
AU  - Brodaty D
LA  - eng
PT  - Journal Article
DEP - 20080505
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
SB  - IM
MH  - Accidental Falls/statistics & numerical data
MH  - Activities of Daily Living
MH  - Aged, 80 and over
MH  - Aortic Valve Stenosis/mortality/*surgery
MH  - Chi-Square Distribution
MH  - Coronary Artery Bypass
MH  - Female
MH  - Follow-Up Studies
MH  - *Frail Elderly
MH  - *Geriatric Assessment
MH  - *Heart Valve Prosthesis Implantation/mortality
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Mood Disorders/epidemiology
MH  - Quality of Life
MH  - Statistics, Nonparametric
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2008/05/06 09:00
MHDA- 2009/07/23 09:00
CRDT- 2008/05/06 09:00
PHST- 2007/12/03 00:00 [received]
PHST- 2008/03/12 00:00 [revised]
PHST- 2008/03/14 00:00 [accepted]
PHST- 2008/05/06 09:00 [pubmed]
PHST- 2009/07/23 09:00 [medline]
PHST- 2008/05/06 09:00 [entrez]
AID - S0167-4943(08)00073-3 [pii]
AID - 10.1016/j.archger.2008.03.010 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 2009 May-Jun;48(3):391-6. doi: 
      10.1016/j.archger.2008.03.010. Epub 2008 May 5.