Usefulness of FRAIL Scale in Heart Valve Diseases

Piotr Duchnowski,1 Piotr Szymański,1 Mariusz Kuśmierczyk,2 Tomasz Hryniewiecki1 1Institute of Cardiology, Department of Acquired Cardiac Defects, Warsaw, Poland; 2Institute of Cardiology, Department of Cardiosurgery and Transplantology, Warsaw, PolandCorrespondence: Piotr DuchnowskiDepartment of Acq...

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Autores principales:	Duchnowski P, Szymański P, Kuśmierczyk M, Hryniewiecki T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	valve surgery euroscore ii frailty syndrome frail scale. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5374b9b2adab4467aaf0c6cf59bcad47
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spelling	oai:doaj.org-article:5374b9b2adab4467aaf0c6cf59bcad472021-12-02T08:58:15ZUsefulness of FRAIL Scale in Heart Valve Diseases1178-1998https://doaj.org/article/5374b9b2adab4467aaf0c6cf59bcad472020-07-01T00:00:00Zhttps://www.dovepress.com/usefulness-of-frail-scale-in-heart-valve-diseases-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Piotr Duchnowski,1 Piotr Szymański,1 Mariusz Kuśmierczyk,2 Tomasz Hryniewiecki1 1Institute of Cardiology, Department of Acquired Cardiac Defects, Warsaw, Poland; 2Institute of Cardiology, Department of Cardiosurgery and Transplantology, Warsaw, PolandCorrespondence: Piotr DuchnowskiDepartment of Acquired Cardiac Defects, Institute of Cardiology, Alpejska 42, Warsaw 04-628, PolandTel +48 3434191Email duchnowski@vp.plBackground: The frailty syndrome is a serious health problem for an aging population. The occurrence of frailty in the group of symptomatic patients undergoing heart valve surgery may have additional clinical implications. The predictive ability of the FRAIL scale in patients undergoing heart valve surgery during a 30-day follow-up has not yet been described.Patients and Methods: A prospective study was conducted on a group of consecutive patients with hemodynamically significant valve disease (aortic stenosis, aortic regurgitation, mitral stenosis and mitral regurgitation) that underwent elective valve surgery in 2016– 2019. The primary endpoint was 30-day mortality. Univariate analysis, followed by multivariate regression analysis, was performed.Results: The study group included 672 consecutive patients (aortic valve stenosis, aortic regurgitation, mitral stenosis and mitral regurgitation) who underwent replacement or repair of the valve. Twenty-five patients died during the 30-day follow-up. At multivariate analysis, FRAIL scale result (OR 2.802; 95% CI 1.275– 6.157; p=0.01) and red cell distribution width (RDW) (OR 1.810; 95% CI 1.181– 2.775; p=0.006) remained independent predictors of the primary endpoint.Conclusion: The presented study showed the predictive ability of the FRAIL scale result in patients undergoing heart valve surgery for 30-day mortality.Keywords: valve surgery, EuroSCORE II, frailty syndrome, FRAIL scaleDuchnowski PSzymański PKuśmierczyk MHryniewiecki TDove Medical Pressarticlevalve surgeryeuroscore iifrailty syndromefrail scale.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1071-1075 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	valve surgery euroscore ii frailty syndrome frail scale. Geriatrics RC952-954.6
spellingShingle	valve surgery euroscore ii frailty syndrome frail scale. Geriatrics RC952-954.6 Duchnowski P Szymański P Kuśmierczyk M Hryniewiecki T Usefulness of FRAIL Scale in Heart Valve Diseases
description	Piotr Duchnowski,1 Piotr Szymański,1 Mariusz Kuśmierczyk,2 Tomasz Hryniewiecki1 1Institute of Cardiology, Department of Acquired Cardiac Defects, Warsaw, Poland; 2Institute of Cardiology, Department of Cardiosurgery and Transplantology, Warsaw, PolandCorrespondence: Piotr DuchnowskiDepartment of Acquired Cardiac Defects, Institute of Cardiology, Alpejska 42, Warsaw 04-628, PolandTel +48 3434191Email duchnowski@vp.plBackground: The frailty syndrome is a serious health problem for an aging population. The occurrence of frailty in the group of symptomatic patients undergoing heart valve surgery may have additional clinical implications. The predictive ability of the FRAIL scale in patients undergoing heart valve surgery during a 30-day follow-up has not yet been described.Patients and Methods: A prospective study was conducted on a group of consecutive patients with hemodynamically significant valve disease (aortic stenosis, aortic regurgitation, mitral stenosis and mitral regurgitation) that underwent elective valve surgery in 2016– 2019. The primary endpoint was 30-day mortality. Univariate analysis, followed by multivariate regression analysis, was performed.Results: The study group included 672 consecutive patients (aortic valve stenosis, aortic regurgitation, mitral stenosis and mitral regurgitation) who underwent replacement or repair of the valve. Twenty-five patients died during the 30-day follow-up. At multivariate analysis, FRAIL scale result (OR 2.802; 95% CI 1.275– 6.157; p=0.01) and red cell distribution width (RDW) (OR 1.810; 95% CI 1.181– 2.775; p=0.006) remained independent predictors of the primary endpoint.Conclusion: The presented study showed the predictive ability of the FRAIL scale result in patients undergoing heart valve surgery for 30-day mortality.Keywords: valve surgery, EuroSCORE II, frailty syndrome, FRAIL scale
format	article
author	Duchnowski P Szymański P Kuśmierczyk M Hryniewiecki T
author_facet	Duchnowski P Szymański P Kuśmierczyk M Hryniewiecki T
author_sort	Duchnowski P
title	Usefulness of FRAIL Scale in Heart Valve Diseases
title_short	Usefulness of FRAIL Scale in Heart Valve Diseases
title_full	Usefulness of FRAIL Scale in Heart Valve Diseases
title_fullStr	Usefulness of FRAIL Scale in Heart Valve Diseases
title_full_unstemmed	Usefulness of FRAIL Scale in Heart Valve Diseases
title_sort	usefulness of frail scale in heart valve diseases
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/5374b9b2adab4467aaf0c6cf59bcad47
work_keys_str_mv	AT duchnowskip usefulnessoffrailscaleinheartvalvediseases AT szymanskip usefulnessoffrailscaleinheartvalvediseases AT kusmierczykm usefulnessoffrailscaleinheartvalvediseases AT hryniewieckit usefulnessoffrailscaleinheartvalvediseases
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Usefulness of FRAIL Scale in Heart Valve Diseases

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