Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery
Background In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation. Methods...
Gespeichert in:
| Veröffentlicht in: | European journal of preventive cardiology 2017-02, Vol.24 (3), p.257-264 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 264 |
|---|---|
| container_issue | 3 |
| container_start_page | 257 |
| container_title | European journal of preventive cardiology |
| container_volume | 24 |
| creator | Eichler, Sarah Salzwedel, Annett Reibis, Rona Nothroff, Jörg Harnath, Axel Schikora, Martin Butter, Christian Wegscheider, Karl Völler, Heinz |
| description | Background
In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation.
Methods
From October 2013 to July 2015, patients with elective transcatheter aortic valve implantation and a subsequent inpatient cardiac rehabilitation were enrolled in the prospective cohort multicentre study. Frailty-Index (including cognition, nutrition, autonomy and mobility), Short Form-12 (SF-12), six-minute walk distance (6MWD) and maximum work load in bicycle ergometry were performed at admission and discharge of cardiac rehabilitation. The relation between patient characteristics and improvements in 6MWD, maximum work load or SF-12 scales were studied univariately and multivariately using regression models.
Results
One hundred and thirty-six patients (80.6 ± 5.0 years, 47.8% male) were enrolled. 6MWD and maximum work load increased by 56.3 ± 65.3 m (p |
| doi_str_mv | 10.1177/2047487316679527 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1841137668</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2047487316679527</sage_id><sourcerecordid>1841137668</sourcerecordid><originalsourceid>FETCH-LOGICAL-c403t-6de7b86835f5d77b4ca4b991157b761edb2f51e8c7f1dc1f8703458108712efe3</originalsourceid><addsrcrecordid>eNp1UUtP3DAQtlCrgrbce0I-9hLw5DXe3irUFiQqOMA5cpwxa5TYqe2stH-E31uvFjggMZd56Pu-eTH2DcQ5AOJFKWqsJVbQtrhuSjxiJ_tSUUsJn95irI7ZaYxPIlsrylLKL-y4RNmUEsQJe_67jMlqP83ekUtcqzBYpXmgjertaJNK1jtuHZ9zlBGRK5Mo8BSUi1qlDe0z5UNW4Vs1bonbaR6VOzB_8LtAg9XJh8i94WZxel9XI1du4HPc6Y3X_tHZZDM1kPZbCruv7LNRY6TTF79iD79_3V9eFTe3f64vf94UuhZVKtqBsJetrBrTDIh9rVXdr9cADfbYAg19aRogqdHAoMFIFFXd5MUlQkmGqhX7ftCdg_-3UEzdZKOmMc9PfokdyBqgwja3WDFxgOrgYwxkujnYSYVdB6LbP6R7_5BMOXtRX_qJhjfC6_kzoDgAonqk7skvIR8mfiz4H4CelyQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1841137668</pqid></control><display><type>article</type><title>Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Eichler, Sarah ; Salzwedel, Annett ; Reibis, Rona ; Nothroff, Jörg ; Harnath, Axel ; Schikora, Martin ; Butter, Christian ; Wegscheider, Karl ; Völler, Heinz</creator><creatorcontrib>Eichler, Sarah ; Salzwedel, Annett ; Reibis, Rona ; Nothroff, Jörg ; Harnath, Axel ; Schikora, Martin ; Butter, Christian ; Wegscheider, Karl ; Völler, Heinz</creatorcontrib><description>Background
In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation.
Methods
From October 2013 to July 2015, patients with elective transcatheter aortic valve implantation and a subsequent inpatient cardiac rehabilitation were enrolled in the prospective cohort multicentre study. Frailty-Index (including cognition, nutrition, autonomy and mobility), Short Form-12 (SF-12), six-minute walk distance (6MWD) and maximum work load in bicycle ergometry were performed at admission and discharge of cardiac rehabilitation. The relation between patient characteristics and improvements in 6MWD, maximum work load or SF-12 scales were studied univariately and multivariately using regression models.
Results
One hundred and thirty-six patients (80.6 ± 5.0 years, 47.8% male) were enrolled. 6MWD and maximum work load increased by 56.3 ± 65.3 m (p < 0.001) and 8.0 ± 14.9 watts (p < 0.001), respectively. An improvement in SF-12 (physical 2.5 ± 8.7, p = 0.001, mental 3.4 ± 10.2, p = 0.003) could be observed. In multivariate analysis, age and higher education were significantly associated with a reduced 6MWD, whereas cognition and obesity showed a positive predictive value. Higher cognition, nutrition and autonomy positively influenced the physical scale of SF-12. Additionally, the baseline values of SF-12 had an inverse impact on the change during cardiac rehabilitation.
Conclusions
Cardiac rehabilitation can improve functional capacity as well as quality of life and reduce frailty in patients after transcatheter aortic valve implantation. An individually tailored therapy with special consideration of cognition and nutrition is needed to maintain autonomy and empower octogenarians in coping with challenges of everyday life.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487316679527</identifier><identifier>PMID: 27852810</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Aortic Valve - physiopathology ; Aortic Valve - surgery ; Aortic Valve Stenosis - diagnosis ; Aortic Valve Stenosis - physiopathology ; Aortic Valve Stenosis - surgery ; Cardiac Rehabilitation - adverse effects ; Cardiac Rehabilitation - methods ; Chi-Square Distribution ; Cognition ; Exercise Tolerance ; Female ; Frail Elderly ; Frailty - diagnosis ; Frailty - physiopathology ; Frailty - psychology ; Frailty - rehabilitation ; Geriatric Assessment ; Germany ; Humans ; Male ; Mobility Limitation ; Multivariate Analysis ; Nutrition Assessment ; Nutritional Status ; Personal Autonomy ; Predictive Value of Tests ; Prospective Studies ; Quality of Life ; Recovery of Function ; Risk Factors ; Time Factors ; Transcatheter Aortic Valve Replacement - adverse effects ; Transcatheter Aortic Valve Replacement - rehabilitation ; Treatment Outcome ; Walk Test</subject><ispartof>European journal of preventive cardiology, 2017-02, Vol.24 (3), p.257-264</ispartof><rights>The European Society of Cardiology 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-6de7b86835f5d77b4ca4b991157b761edb2f51e8c7f1dc1f8703458108712efe3</citedby><cites>FETCH-LOGICAL-c403t-6de7b86835f5d77b4ca4b991157b761edb2f51e8c7f1dc1f8703458108712efe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487316679527$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487316679527$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27852810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eichler, Sarah</creatorcontrib><creatorcontrib>Salzwedel, Annett</creatorcontrib><creatorcontrib>Reibis, Rona</creatorcontrib><creatorcontrib>Nothroff, Jörg</creatorcontrib><creatorcontrib>Harnath, Axel</creatorcontrib><creatorcontrib>Schikora, Martin</creatorcontrib><creatorcontrib>Butter, Christian</creatorcontrib><creatorcontrib>Wegscheider, Karl</creatorcontrib><creatorcontrib>Völler, Heinz</creatorcontrib><title>Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Background
In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation.
Methods
From October 2013 to July 2015, patients with elective transcatheter aortic valve implantation and a subsequent inpatient cardiac rehabilitation were enrolled in the prospective cohort multicentre study. Frailty-Index (including cognition, nutrition, autonomy and mobility), Short Form-12 (SF-12), six-minute walk distance (6MWD) and maximum work load in bicycle ergometry were performed at admission and discharge of cardiac rehabilitation. The relation between patient characteristics and improvements in 6MWD, maximum work load or SF-12 scales were studied univariately and multivariately using regression models.
Results
One hundred and thirty-six patients (80.6 ± 5.0 years, 47.8% male) were enrolled. 6MWD and maximum work load increased by 56.3 ± 65.3 m (p < 0.001) and 8.0 ± 14.9 watts (p < 0.001), respectively. An improvement in SF-12 (physical 2.5 ± 8.7, p = 0.001, mental 3.4 ± 10.2, p = 0.003) could be observed. In multivariate analysis, age and higher education were significantly associated with a reduced 6MWD, whereas cognition and obesity showed a positive predictive value. Higher cognition, nutrition and autonomy positively influenced the physical scale of SF-12. Additionally, the baseline values of SF-12 had an inverse impact on the change during cardiac rehabilitation.
Conclusions
Cardiac rehabilitation can improve functional capacity as well as quality of life and reduce frailty in patients after transcatheter aortic valve implantation. An individually tailored therapy with special consideration of cognition and nutrition is needed to maintain autonomy and empower octogenarians in coping with challenges of everyday life.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Valve - physiopathology</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - diagnosis</subject><subject>Aortic Valve Stenosis - physiopathology</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Cardiac Rehabilitation - adverse effects</subject><subject>Cardiac Rehabilitation - methods</subject><subject>Chi-Square Distribution</subject><subject>Cognition</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Frail Elderly</subject><subject>Frailty - diagnosis</subject><subject>Frailty - physiopathology</subject><subject>Frailty - psychology</subject><subject>Frailty - rehabilitation</subject><subject>Geriatric Assessment</subject><subject>Germany</subject><subject>Humans</subject><subject>Male</subject><subject>Mobility Limitation</subject><subject>Multivariate Analysis</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Personal Autonomy</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Transcatheter Aortic Valve Replacement - adverse effects</subject><subject>Transcatheter Aortic Valve Replacement - rehabilitation</subject><subject>Treatment Outcome</subject><subject>Walk Test</subject><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UUtP3DAQtlCrgrbce0I-9hLw5DXe3irUFiQqOMA5cpwxa5TYqe2stH-E31uvFjggMZd56Pu-eTH2DcQ5AOJFKWqsJVbQtrhuSjxiJ_tSUUsJn95irI7ZaYxPIlsrylLKL-y4RNmUEsQJe_67jMlqP83ekUtcqzBYpXmgjertaJNK1jtuHZ9zlBGRK5Mo8BSUi1qlDe0z5UNW4Vs1bonbaR6VOzB_8LtAg9XJh8i94WZxel9XI1du4HPc6Y3X_tHZZDM1kPZbCruv7LNRY6TTF79iD79_3V9eFTe3f64vf94UuhZVKtqBsJetrBrTDIh9rVXdr9cADfbYAg19aRogqdHAoMFIFFXd5MUlQkmGqhX7ftCdg_-3UEzdZKOmMc9PfokdyBqgwja3WDFxgOrgYwxkujnYSYVdB6LbP6R7_5BMOXtRX_qJhjfC6_kzoDgAonqk7skvIR8mfiz4H4CelyQ</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Eichler, Sarah</creator><creator>Salzwedel, Annett</creator><creator>Reibis, Rona</creator><creator>Nothroff, Jörg</creator><creator>Harnath, Axel</creator><creator>Schikora, Martin</creator><creator>Butter, Christian</creator><creator>Wegscheider, Karl</creator><creator>Völler, Heinz</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery</title><author>Eichler, Sarah ; Salzwedel, Annett ; Reibis, Rona ; Nothroff, Jörg ; Harnath, Axel ; Schikora, Martin ; Butter, Christian ; Wegscheider, Karl ; Völler, Heinz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-6de7b86835f5d77b4ca4b991157b761edb2f51e8c7f1dc1f8703458108712efe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve - physiopathology</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - diagnosis</topic><topic>Aortic Valve Stenosis - physiopathology</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Cardiac Rehabilitation - adverse effects</topic><topic>Cardiac Rehabilitation - methods</topic><topic>Chi-Square Distribution</topic><topic>Cognition</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Frail Elderly</topic><topic>Frailty - diagnosis</topic><topic>Frailty - physiopathology</topic><topic>Frailty - psychology</topic><topic>Frailty - rehabilitation</topic><topic>Geriatric Assessment</topic><topic>Germany</topic><topic>Humans</topic><topic>Male</topic><topic>Mobility Limitation</topic><topic>Multivariate Analysis</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Personal Autonomy</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Recovery of Function</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Transcatheter Aortic Valve Replacement - adverse effects</topic><topic>Transcatheter Aortic Valve Replacement - rehabilitation</topic><topic>Treatment Outcome</topic><topic>Walk Test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eichler, Sarah</creatorcontrib><creatorcontrib>Salzwedel, Annett</creatorcontrib><creatorcontrib>Reibis, Rona</creatorcontrib><creatorcontrib>Nothroff, Jörg</creatorcontrib><creatorcontrib>Harnath, Axel</creatorcontrib><creatorcontrib>Schikora, Martin</creatorcontrib><creatorcontrib>Butter, Christian</creatorcontrib><creatorcontrib>Wegscheider, Karl</creatorcontrib><creatorcontrib>Völler, Heinz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eichler, Sarah</au><au>Salzwedel, Annett</au><au>Reibis, Rona</au><au>Nothroff, Jörg</au><au>Harnath, Axel</au><au>Schikora, Martin</au><au>Butter, Christian</au><au>Wegscheider, Karl</au><au>Völler, Heinz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>24</volume><issue>3</issue><spage>257</spage><epage>264</epage><pages>257-264</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Background
In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation.
Methods
From October 2013 to July 2015, patients with elective transcatheter aortic valve implantation and a subsequent inpatient cardiac rehabilitation were enrolled in the prospective cohort multicentre study. Frailty-Index (including cognition, nutrition, autonomy and mobility), Short Form-12 (SF-12), six-minute walk distance (6MWD) and maximum work load in bicycle ergometry were performed at admission and discharge of cardiac rehabilitation. The relation between patient characteristics and improvements in 6MWD, maximum work load or SF-12 scales were studied univariately and multivariately using regression models.
Results
One hundred and thirty-six patients (80.6 ± 5.0 years, 47.8% male) were enrolled. 6MWD and maximum work load increased by 56.3 ± 65.3 m (p < 0.001) and 8.0 ± 14.9 watts (p < 0.001), respectively. An improvement in SF-12 (physical 2.5 ± 8.7, p = 0.001, mental 3.4 ± 10.2, p = 0.003) could be observed. In multivariate analysis, age and higher education were significantly associated with a reduced 6MWD, whereas cognition and obesity showed a positive predictive value. Higher cognition, nutrition and autonomy positively influenced the physical scale of SF-12. Additionally, the baseline values of SF-12 had an inverse impact on the change during cardiac rehabilitation.
Conclusions
Cardiac rehabilitation can improve functional capacity as well as quality of life and reduce frailty in patients after transcatheter aortic valve implantation. An individually tailored therapy with special consideration of cognition and nutrition is needed to maintain autonomy and empower octogenarians in coping with challenges of everyday life.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27852810</pmid><doi>10.1177/2047487316679527</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2047-4873 |
| ispartof | European journal of preventive cardiology, 2017-02, Vol.24 (3), p.257-264 |
| issn | 2047-4873 2047-4881 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1841137668 |
| source | MEDLINE; SAGE Complete A-Z List; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Age Factors Aged Aged, 80 and over Aortic Valve - physiopathology Aortic Valve - surgery Aortic Valve Stenosis - diagnosis Aortic Valve Stenosis - physiopathology Aortic Valve Stenosis - surgery Cardiac Rehabilitation - adverse effects Cardiac Rehabilitation - methods Chi-Square Distribution Cognition Exercise Tolerance Female Frail Elderly Frailty - diagnosis Frailty - physiopathology Frailty - psychology Frailty - rehabilitation Geriatric Assessment Germany Humans Male Mobility Limitation Multivariate Analysis Nutrition Assessment Nutritional Status Personal Autonomy Predictive Value of Tests Prospective Studies Quality of Life Recovery of Function Risk Factors Time Factors Transcatheter Aortic Valve Replacement - adverse effects Transcatheter Aortic Valve Replacement - rehabilitation Treatment Outcome Walk Test |
| title | Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T05%3A45%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Multicomponent%20cardiac%20rehabilitation%20in%20patients%20after%20transcatheter%20aortic%20valve%20implantation:%20Predictors%20of%20functional%20and%20psychocognitive%20recovery&rft.jtitle=European%20journal%20of%20preventive%20cardiology&rft.au=Eichler,%20Sarah&rft.date=2017-02-01&rft.volume=24&rft.issue=3&rft.spage=257&rft.epage=264&rft.pages=257-264&rft.issn=2047-4873&rft.eissn=2047-4881&rft_id=info:doi/10.1177/2047487316679527&rft_dat=%3Cproquest_cross%3E1841137668%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1841137668&rft_id=info:pmid/27852810&rft_sage_id=10.1177_2047487316679527&rfr_iscdi=true |