Evidence map›Paper›PMID 42473501›Full record

ArticleCureus2026

Association of Frailty Factors, Especially Handgrip Strength, With One-Year Clinical Prognosis Following Transcatheter Aortic Valve Implantation: A Retrospective Cohort Analysis.

Kenji Tsujimoto, Shinichi Watanabe

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Kenji TsujimotoDepartment of Rehabilitation Medicine, Gifu University of Health Science, Gifu, JPN.
Shinichi WatanabeDepartment of Rehabilitation Medicine, Gifu University of Health Science, Gifu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFrailty is an important determinant of prognosis in older patients undergoing transcatheter aortic valve implantation (TAVI). However, because frailty is a multidimensional construct, the specific components that most strongly influence long-term outcomes remain unclear. This study aimed to identify the preoperative frailty components associated with one-year composite outcomes after TAVI. METHODS AND

resultsThis retrospective cohort study included 123 patients who underwent TAVI. Preoperative frailty was assessed using the Clinical Frailty Scale (CFS), and its components were evaluated across physical (handgrip strength and short physical performance battery (SPPB)) and nutritional (serum albumin) domains. Univariate and multivariate Cox proportional hazards analyses were performed using multivariate models adjusted for age and sex. During the one-year follow-up period, 32 events (all-cause death or rehospitalization) occurred. In the univariate analysis, preoperative frailty, defined as a Clinical Frailty Scale (CFS) score ≥ 5 (hazard ratio (HR): 2.11, p=0.032), and handgrip strength (HR: 0.95, p=0.034) were significantly associated with the outcomes. In the multivariate analysis, only handgrip strength remained an independent predictor (HR: 0.93, 95% confidence interval (CI): 0.88-0.98, p=0.006). Receiver operating characteristic (ROC) analysis identified an exploratory cutoff value of 13.3 kg (area under the curve=0.622), and Kaplan-Meier analysis showed significantly lower event-free survival in patients with low handgrip strength.

conclusionPreoperative handgrip strength was an independent predictor of the one-year post-TAVI outcomes. It may serve as a practical tool for risk stratification and individualized rehabilitation planning.

Indexed as

frailtyhandgrip strengthprognosisrehabilitationtranscatheter aortic valve implantation (tavi)

Identifiers

PMID42473501
PMCPMC13381070

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