Table 4.
Studies Assessing Frailty and Outcome in TAVI vs. Cardiac Surgery.
| Study | Parameter(s) | Result | HR/OR; 95% CI, P value* |
|---|---|---|---|
| Green et al.(68) | Gaits speed, grip strength, serum albumin, ADL status in frailty score with TAVI |
↑ frailty score correlates with ↑ 1 year mortality |
HR 3.5; CI: 1.4 to 8.5, p< 0.007 |
| Afialo et al.(83) | Frailty and disability score in cardiac surgery |
5 meter gait speed and Nagi disability score ≥ 3, ↑ mortality |
Gait: OR 2.63; CI, 1.17 to 5.90 Nagi: OR 2.98; CI, 1.35–6.56 |
| De Areza et al.(84) |
EuroSCORE + 6 minute walk test for SAVR |
6 minute walk distance associated with composite CV outcome |
HR 0.28; CI, 0.09 to 0.85, p=0.025 |
| Lee et al.(85) | Frailty based on impairment of ADLs, ambulation, or history of dementia in cardiac surgery |
Frailty - ↑ hospital mortality and ↑ hospital stay |
OR 1.8; CI, 1.1 to 3.0 for mortality |
| Schoenenberger et al.(86) |
Frailty index to assess functional decline after TAVI |
Frailty index strongly predicted functional decline |
OR 1.56; CI, 1.20 to 2.04; p= 0.001 |
| Stortecky et al.(67) |
Multidimensional Geriatric Assessment (MGA) tool to predict adverse events in TAVI |
Frailty characteristics- cognitive impairment, malnutrition, mobility impairment, limitations in ADLs - were predictive of increased mortality. |
OR 3.29; CI, 1.06 to 10.15; for MGA |
ADL = activity of daily living, CV= cardiovascular
p value given if available.