Evidence map›Paper›PMID 36173992›Full record

SynthesisAge and ageing2022

Preprocedural muscle strength and physical performance and the association with functional decline or mortality in frail older patients after transcatheter aortic valve implementation: a systematic review and meta-analysis.

Dennis van Erck, Christine D Dolman, Jacqueline Limpens, Wilma J M Scholte Op Reimer, José P Henriques, Ronak Delewi, Josje D Schoufour

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 9 citations in OpenAlex.

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  5. Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026
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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

7 authors at 4 institutions in 1 country.

Dennis van ErckDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-5396-1903
Christine D DolmanDepartment of Cardiothoracic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jacqueline LimpensMedical Library, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Wilma J M Scholte Op ReimerDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
José P HenriquesDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Ronak DelewiDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Josje D SchoufourFaculty of Health, Center of Expertise Urban Vitality, Amsterdam University of Applied Science, Amsterdam, The Netherlands.
Amsterdam Neuroscience · NLAmsterdam University Medical Centers · NLAmsterdam University of Applied Sciences · NLUniversity of Applied Sciences Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA significant number of older patients planned for transcatheter aortic valve implantation (TAVI) experience a decline in physical functioning and death, despite a successful procedure.

objectiveTo systematically review the literature on the association of preprocedural muscle strength and physical performance with functional decline or long-term mortality after TAVI.

methodsWe followed the PRISMA guidelines and pre-registered this review at PROSPERO (CRD42020208032). A systematic search was conducted in MEDLINE and EMBASE from inception to 10 December 2021. Studies reporting on the association of preprocedural muscle strength or physical performance with functional decline or long-term (>6 months) mortality after the TAVI procedure were included. For outcomes reported by three or more studies, a meta-analysis was performed.

resultsIn total, two studies reporting on functional decline and 29 studies reporting on mortality were included. The association with functional decline was inconclusive. For mortality, meta-analysis showed that low handgrip strength (hazard ratio (HR) 1.80 [95% confidence interval (CI): 1.22-2.63]), lower distance on the 6-minute walk test (HR 1.15 [95% CI: 1.09-1.21] per 50 m decrease), low performance on the timed up and go test (>20 s) (HR 2.77 [95% CI: 1.79-4.30]) and slow gait speed (<0.83 m/s) (HR 2.24 [95% CI: 1.32-3.81]) were associated with higher long-term mortality.

conclusionsLow muscle strength and physical performance are associated with higher mortality after TAVI, while the association with functional decline stays inconclusive. Future research should focus on interventions to increase muscle strength and physical performance in older cardiac patients.

Indexed as

Aortic ValveHand StrengthAgedFrail ElderlyHumansMuscle StrengthPhysical Functional PerformancePostural BalanceTime and Motion Studiescardiac patientsfunctional declinemortalitymuscle strengtholder peoplephysical performancesystematic review

Identifiers

PMID36173992
PMCPMC9521795
OpenAlexW4298009545

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.