Evidence map›Paper›PMID 34448150›Full record

ArticleAging clinical and experimental research2022

Surgical aortic valve replacement in elderly patients: effects on physical performance, cognitive function and health-related quality of life.

Marina De Rui, Vincenzo Tarzia, Mattia Mazzochin, Anna Bertocco, Chiara Ceolin, Caterina Trevisan, Chiara Tessari, Chiara Cavalli, Antonio Piperata, Alessandra Coin and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Marina De Rui *Department of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy. marinaderui@gmail.com.ORCID http://orcid.org/0000-0002-7761-5121
Vincenzo Tarzia *Department of Cardiac, Thoracic and Vascular Sciences, and Public Health, Cardiac Surgery Unit, University of Padova, Padova, Italy.
Mattia MazzochinDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
Anna BertoccoDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
Chiara CeolinDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
Caterina TrevisanDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
Chiara TessariDepartment of Cardiac, Thoracic and Vascular Sciences, and Public Health, Cardiac Surgery Unit, University of Padova, Padova, Italy.
Chiara CavalliDepartment of Cardiac, Thoracic and Vascular Sciences, and Public Health, Cardiac Surgery Unit, University of Padova, Padova, Italy.
Antonio PiperataDepartment of Cardiac, Thoracic and Vascular Sciences, and Public Health, Cardiac Surgery Unit, University of Padova, Padova, Italy.
Alessandra CoinDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
Gino GerosaDepartment of Cardiac, Thoracic and Vascular Sciences, and Public Health, Cardiac Surgery Unit, University of Padova, Padova, Italy.
Giuseppe SergiDepartment of Medicine-DIMED, Geriatrics Division, Clinica Geriatrica, University of Padova, via Giustiniani 2, 35128, Padova, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical aortic valve replacement (SAVR) is still the gold standard for treating aortic valve stenosis (AVS). Its effectiveness has been extensively examined in terms of perioperative mortality, but its impact on overall health has received much less attention.

aimsTo assess the physical performance, cognitive status, and health-related quality of life of elderly patients undergoing SAVR, in the short, medium and long term.

methodsThis single-center prospective study enrolled patients aged > 70 years who underwent isolated SAVR for severe AVS. Data were collected on each participant's clinical status, physical performance, cognitive status, mood, and health-related quality of life. This multidimensional geriatric assessment was performed before surgery (T0), and again at 45 days (T1), 3 months (T2), 6 months (T3), and 12 months (T4) post-surgery. Baseline (T0) and follow-up (T2-T4) data were compared separately for patients grouped by gender using paired t-tests.

resultsData from a total of 35 patients were analyzed. Compared with the baseline (T0), nutritional status worsened at T1, then gradually improved through to T4. Physical performance, mood, and health-related quality of life improved significantly after surgery. Cognitive function showed no change through to T3, but then deteriorated at T4.

conclusionsOur results show that SAVR in patients over 70 years of age has a positive impact on nutrition, mood, and health-related quality of life. Cognitive function was not negatively affected in the short and medium term, although it deteriorated in the long term. SAVR also had a positive impact on the physical performance of our sample.

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationTranscatheter Aortic Valve ReplacementAgedAged, 80 and overAortic ValveCognitionHumansPhysical Functional PerformanceProspective StudiesQuality of LifeRisk FactorsTreatment OutcomeAortic valve stenosisMoodNutritional statusOlder adultsQuality of lifeShort physical performance battery

Identifiers

PMID34448150
PMCPMC8894170
OpenAlexW3193326774

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.