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

How does functional status change in the year after transcatheter and surgical aortic valve replacement?
Findings  In this cohort study of 246 elderly patients (mean age, 78.1 years), the proportions of patients who had excellent, good, fair, poor, and very poor functional trajectories were 14.0%, 23.1%, 37.9%, 14.7%, and 8.4%, respectively, after transcatheter aortic valve replacement, and 36.9%, 37.9%, 19.4%, 2.9%, and 1.0%, respectively, after surgical aortic valve replacement. Preoperative frailty level as well as major complications and delirium were associated with functional decline or lack of improvement.

Meaning  Despite disease-specific benefits of aortic valve replacement, functional decline or lack of functional improvement is common in older patients with severe frailty; information on functional trajectories may be useful for patient-centered decision making and perioperative care to optimize functional outcomes.

Author(s) Source
Kim DH, Afilalo J, Shi SM, et al. JAMA Intern Med. 2019;179(3):383-391. doi:10.1001/jamainternmed.2018.6738
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