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Evaluation of Changes in Functional Status in the Year After Aortic Valve Replacement

Wednesday, February 6, 2019

Submitted by

Mark Ferguson

Source

Source Name: JAMA Internal Medicine

Source URL: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2723075

Author(s)

Dae Hyun Kim, Jonathan Afilalo, Sandra M. Shi, Jeffrey J. Popma, Kamal R. Khabbaz, Roger J. Laham, Francine Grodstein, Kimberly Guibone, Eliah Lux, Lewis A. Lipsitz

In this prospective single-institution study, functional status trajectory one year after intervention was compared for transcatheter (TAVR) versus surgical aortic valve replacement (SAVR). A moderate/large decline compared to preintervention status occurred in 23% of TAVR patients and 4% of SAVR patients. A frailty index, postoperative delirium, and procedure-related complications were associated with postintervention decline.