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Addition of Albumin to Traditional Risk Score Improved Prediction of Mortality in Individuals Undergoing Transcatheter Aortic Valve Replacement

Wednesday, September 27, 2017

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Source Name: Journal of the American Geriatrics Society


Yoni Grossman, Israel M. Barbash, Paul Fefer, Ilan Goldenberg, Anat Berkovitch, Ehud Regev, Noam Fink, Sagit Ben-Zekry, Yafim Brodov, Alexander Kogan, Victor Guetta, Ehud Raanani, Amit Segev

The authors analyzed their prospective hospital TAVR register to assess whether the addition of serum albumin as a marker of frailty would improve the ability of the STS and EuroSCORE-2 scores to predict mortality.  TAVR patients were divided into 4 groups based on median serum albumin and median STS and EuroSCORE-2 values. 

Result:  A model including albumin in addition to either conventional score improved the prediction of mortality with either score by more than 40%.  

Conclusion:  Using scores that include serum albumin as a marker of frailty can improve the prediction of mortality in patients undergoing TAVR.

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