Commentary: Appropriate frailty measures should be incorporated into the development of accurate risk calculation models for evaluation of transcatheter aortic valve replacement candidates.
Abstrak
The European System for Cardiac Operative Risk Evaluation score and the Society of Thoracic Surgeons (STS) risk score are the most widely used risk scores to predict operative mortality in patients undergoing cardiac surgery. However, these models are substantially limited in application to patients who are candidates for transcatheter aortic valve replacement (TAVR). 1 The European System for Cardiac Operative Risk Evaluation II score typically over-estimates perioperative risk, whereas the STS risk score typically underestimates perioperative risk in frail patients. 2,3 A general shortcoming of these risk scores is the omission of several important risk factors such as frailty, malnutrition, and history of delirium. Accordingly, both risk scoring systems lack sufficient power to optimize patient selection and predict short-term outcomes. 4 To establish appropriate TAVR-specific risk models and predict early and late outcomes, several important articles have recently been published. 3-7 van der
Topik & Kata Kunci
Penulis (1)
K. Bando
Akses Cepat
- Tahun Terbit
- 2020
- Bahasa
- en
- Total Sitasi
- 2×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1016/j.jtcvs.2020.04.107
- Akses
- Open Access ✓