Assessment of quality of life in patients after surgical and transcatheter aortic valve replacement

Tokarek, Tomasz; Siudak, Zbigniew; Dziewierz, Artur; Sobczyński, Robert; Zasada, Wojciech; Sorysz, Danuta; Olszewska-Wityńska, Katarzyna; Bryniarski, Krzysztof; Krawczyk‐Ożóg, Agata; Żabówka, Anna; Sadowski, Jerzy; Dudek, Dariusz

doi:10.1002/ccd.26400

Cited by 25 publications

(27 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The author also mentioned that evaluation of quality of life in TAVI patients might be challenging. Similar results were obtained by Tokarek et al [26]: global, physical and emotional dimension scores in HRQoL at 30 days from aortic valve replacement (AVR) presented significant improvement after TAVI in comparison with surgical methods 1 year after the procedure with no differences in somatic and emotional components. No differences were found in HRQoL 24 months after AVR.…”

Section: Discussionsupporting

confidence: 84%

Changes in cognitive functions and quality of life in patients after transcatheter aortic valve implantation

Olszewska-Turek¹,

Tokarek²,

Dziewierz³

et al. 2020

pwki

Self Cite

View full text Add to dashboard Cite

Introduction: Transcatheter aortic valve implantation (TAVI) has emerged as a therapeutic option for patients with severe aortic stenosis (AS). However, an association between cognitive functions (CF) and health-related quality of life (HRQoL) in TAVI patients is still unclear. Aim: To assess the long-term changes in CF and HRQoL in elderly patients with AS after TAVI. Material and methods: A total of 259 patients who underwent cardiological and psychological TAVI qualification were enrolled and divided into the normal (n = 174) and impaired cognition group (n = 85). CF and HRQoL characteristics assessed at baseline and 13 months were compared between groups. The analysis of multiple linear regression was performed to identify the association between HRQoL and CF and to assess the influence of TAVI on HRQoL. Results: There was no difference in CF between baseline and follow-up. However, an improvement in attention functions and memory skills in the cognitively impaired group was noted at follow-up. In addition, HRQoL scores increased in both groups. An independent predictor associated with HRQoL was global CF (β =-213, p = 0.01), which explained 7% of CF variation. Improvements in all five dimensions of HRQoL, from 4.8% in self-care and up to 33.6% in pain/discomfort, were found. At follow-up, 60% of TAVI patients had improved health, 12% had worse health, 4% showed no change and 24% had a "mixed" change. Conclusions: TAVI is associated with positive changes in the functioning of elderly patients at long-term follow-up.

show abstract

Section: Discussionsupporting

confidence: 84%

Changes in cognitive functions and quality of life in patients after transcatheter aortic valve implantation

Olszewska-Turek¹,

Tokarek²,

Dziewierz³

et al. 2020

pwki

Self Cite

View full text Add to dashboard Cite

show abstract

“…From the final group of studies (11), two clusters of papers were produced by the same sets of authors, respectively, and study centers. The two published studies by Tokarek and colleagues 16,17 reported on the same cohort of patients receiving AVR: the study reporting a more complete set of variables of interest 16 was therefore included and the other excluded.…”

Section: Results Of the Searchmentioning

confidence: 99%

Mini‐sternotomy vs right anterior thoracotomy for aortic valve replacement

et al. 2020

View full text Add to dashboard Cite

Background While minimally invasive techniques for aortic valve replacement (AVR) have been shown to be safe, limited data exist comparing the varying approaches. This study aimed to compare the outcomes between two minimally invasive approaches for AVR: mini‐sternotomy (MS) and right anterior thoracotomy (RAT). Materials and Methods A systematic search of MEDLINE, EMBASE, and OVID was conducted for the period 1990‐2019. Nine observational studies (n = 2926 patients) met the inclusion criteria. Results There was no difference in operative mortality between MS and RAT (odds ratio [OR]: 0.87, 95% confidence interval [CI]: 0.41‐1.85; P = .709). Meta‐analyses favored MS over RAT in reoperation for bleeding (OR: 0.42, 95% CI: 0.28‐0.63; P < .001), aortic cross‐clamp time (standardized mean difference [SMD]: −0.12, 95% CI: −0.20 to 0.029; P = .009), and the rate of conversion to sternotomy (OR: 0.32, 95% CI: 0.11‐0.93; P = .036). The rate of permanent pacemaker insertion approached borderline significance in favor of MS (OR: 0.54, 95% CI: 0.26‐1.12; P = .097). In‐hospital outcomes of stroke, atrial fibrillation, and surgical site infection were similar between the two groups. The length of hospital stay was shorter for RAT (SMD: 0.12, 95% CI: 0.027‐0.22; P = .012) and the length of postoperative ventilation was borderline significant in favor of RAT (SMD: 0.16, 95% CI: −0.027 to 0.34; P = .095). Conclusions This study highlights important differences in short‐term outcomes between MS and RAT as approaches for AVR. This has important implications for patient selection, especially in the elderly, where such approaches are becoming more common‐place.

show abstract

“…Thus, QoL improvement is commonly considered as a major expectation for elderly patients' profile after TAVI [3-5, 27, 28]. Amelioration of QoL after TAVI may be more beneficial than observed after surgical treatment of severe AS, even in cluding less invasive mini-thoracotomy and mini-sternotomy techniques [8]. In our study, no differences between groups in all components of the EQ-5D-3L questionnaire were confirmed.…”

Section: Discussionmentioning

confidence: 39%

“…Transcatheter aortic valve implantation (TAVI) has been demon strated as an effective treatment in patients with symptomatic severe aortic stenosis (AS) and increased operative risk [1][2][3]. An improvement in clinical outcomes and quality of life (QoL) after TAVI in long-term follow-up was confirmed by several studies [4][5][6][7][8]. Patients with previous cardiac surgery are con sidered to be at increased perioperative risk for redo cardiac operations [9,10].…”

Section: Introductionmentioning

confidence: 99%

Impact of previous cardiac surgery with sternotomy on clinical outcomes and quality of life after transcatheter aortic valve implantation for severe aortic stenosis

Tokarek¹,

Dziewierz²,

Bagieński³

et al. 2018

Kardiol Pol

Self Cite

View full text Add to dashboard Cite

show abstract

Assessment of quality of life in patients after surgical and transcatheter aortic valve replacement

Abstract: TAVI improves QoL in perioperative and 12 months observation in comparison with mini-thoracotomy, mini-sternotomy and SAVR. Improvement in QoL was obtained in both generic and disease specific questionnaires. © 2016 Wiley Periodicals, Inc.

Cited by 25 publications

References 22 publications

Changes in cognitive functions and quality of life in patients after transcatheter aortic valve implantation

Changes in cognitive functions and quality of life in patients after transcatheter aortic valve implantation

Mini‐sternotomy vs right anterior thoracotomy for aortic valve replacement

Impact of previous cardiac surgery with sternotomy on clinical outcomes and quality of life after transcatheter aortic valve implantation for severe aortic stenosis

Contact Info

Product

Resources

About