Journals / Türk Kardiyoloji Derneği Arşivi / 2020 / Cilt: 48 - Sayı: 6

Effect of prognostic nutritional index on short-term survival after transcatheter aortic valve implantation

Prognostik nütrisyon indeksinin transkateter aortik kapak implantasyonu sonrası kısa dönem sağ kalıma etkisi

Pages
585–593
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The study population was dividedinto 2 groups according to a PNI cut-off value: PNI >43.37(n=213; 70%) and PNI

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Transcatheter aortic valve implantation (TAVI) is agood alternative to surgical aortic valve replacement (SAVR)in severe aortic stenosis patients who are at intermediateor high risk, or other cases that are considered unsuitablefor SAVR.
📊
Key Findings & Data:The aim of this study was to determinethe effect of the PNI on short-term survival after TAVI.Methods: The PNI values of 302 patients who underwentTAVI were analyzed.
💡
Conclusion & Impact:The study population was dividedinto 2 groups according to a PNI cut-off value: PNI >43.37(n=213; 70%) and PNI
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Transcatheter aortic valve implantation (TAVI) is agood alternative to surgical aortic valve replacement (SAVR)in severe aortic stenosis patients who are at intermediateor high risk, or other cases that are considered unsuitablefor SAVR. TAVI is most often performed on elderly patients,and although conventional risk scores include a number ofcomorbidities, they do not take into account functional decline specific to elderly patients. The prognostic nutritionalindex (PNI), which is a simple and effective parameter forboth nutritional and inflammatory status, reflects functionaldecline in the elderly. The aim of this study was to determinethe effect of the PNI on short-term survival after TAVI.Methods: The PNI values of 302 patients who underwentTAVI were analyzed. The study population was dividedinto 2 groups according to a PNI cut-off value: PNI >43.37(n=213; 70%) and PNI

Özet

Amaç: Transkateter aort kapak implantasyonu (TAVİ), ciddi aort darlığında orta-yüksek riskli veya cerrahiye uygun olmayan hastalarda, cerrahi aort kapak değişimine iyi bir alternatiftir. TAVİ çoğunlukla yaşlı hastalara uygulanmaktadır. Geleneksel risk faktörleri birçok komorbiditeyi içermesine rağmen yaşlı hastalara özgü fonksiyonel bozuklukları içermemektedir. Nütrisyonel ve enflamatuvar durumların her ikisini içeren basit ve kullanışlı bir parametre olan prognostik nütrisyon indeksi (PNİ), yaşlılardaki bu fonksiyonel bozulmayı yansıtır. Çalışmanın amacı, PNİ’nin TAVİ sonrası kısa dönem sağ kalım üzerine etkisini araştırmaktır. Yöntemler: TAVİ yapılan 302 hastada PNİ değeri hesaplandı. Çalışma popülasyonu PNİ’nin kestirim değerine göre iki gruba ayrıldı: PNİ >43.37 (n=213; %70) ve PNİ

🔖

Cite This Article

UZUN, F., ERTÜRK, M., PANÇ, C., YILMAZ, E., GÜRBAK, İ. (2022). Effect of prognostic nutritional index on short-term survival after transcatheter aortic valve implantation. Türk Kardiyoloji Derneği Arşivi, Cilt: 48 - Sayı: 6, 585–593. https://ajindex.com/articles/631977

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Lindroos M, Kupari M, Heikkila J, Tilvis R. Prevalence of aortic valve abnormalities in the elderly: an echocardiographic study of a random population sample. J Am Coll Cardiol 1993;21:1220–5
  2. Otto CM. Valvular aortic stenosis: disease severity and timing of intervention. J Am Coll Cardiol 2006;47:2141–51
  3. Cribier A, Eltchaninoff H, Bash A, Borenstein N, Tron C, Bauer F, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation 2002;106:3006–8
  4. Anand A, Harley C, Visvanathan A, Shah ASV, Cowell J, MacLullich A, et al. The relationship between preoperative frailty and outcomes following transcatheter aortic valve implantation: a systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes 2017;3:123–32
  5. Sepehri A, Beggs T, Hassan A, Rigatto C, Shaw-Daigle C, Tangri N, et al. The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg 2014;148:3110–7
  6. Otto CM, Kuusisto J, Reichenbach DD, Gown AM, O’Brien KD. Characterization of the early lesion of ‘degenerative’ valvular aortic stenosis. Histological and immunohistochemical studies. Circulation 1994;90:844–53
  7. Basta G, Chatzianagnostou K, Paradossi U, Botto N, Del Turco S, Taddei A, et al. The prognostic impact of objective nutritional indices in elderly patients with ST-elevation myocardial infarction undergoing primary coronary intervention. Int J Cardiol 2016;221:987–92
  8. Keskin M, Hayıroğlu MI, Keskin T, Kaya A, Tatlısu MA, Altay S, et al. A novel and useful predictive indicator of prognosis in ST-segment elevation myocardial infarction, the prognostic nutritional index. Nutr Metab Cardiovasc Dis. 2017;27:438–46
  9. Salomon du Mont L, Leclerc B, Morgant MC, Besch G, Laubriet A, Steinmetz E, et al. Impact of Nutritional State on Critical Limb Ischemia Early Outcomes (DENUCRITICC Study). Ann Vasc Surg 2017;45:10–5
  10. Inohara T, Hayashida K, Watanabe Y, Yamamoto M, Takagi K, Yashima F, et al. Streamlining the learning process for TAVI: Insight from a comparative analysis of the OCEAN-TAVI and the massy registries. Catheter Cardiovasc Interv 2016;87:963– 70
  11. Kappetein AP, Head SJ, Généreux P, Piazza N, van Mieghem NM, Blackstone EH, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. J Thorac Cardiovasc Surg 2013;145:6–23
  12. Onodera