Assessment of postoperative nutritional status and physical function between open surgical aortic valve replacement and transcatheter aortic valve implantation in elderly patients

• 資料種別: 博士論文
• タイトル: Assessment of postoperative nutritional status and physical function between open surgical aortic valve replacement and transcatheter aortic valve implantation in elderly patients
• 著者・編者: Sebe, Mayu; Tsutsumi, Rie; Oyama, Takuro; Horikawa, Yousuke T.; Uemura, Yuta; Kakuta, Nami; Sakai, Yoko; Morio, Atsushi; Miyoshi, Hirotsugu; Kondo, Takashi; Urabe, Tomoaki; Noda, Yuko; Kamiya, Satoshi; Saeki, Noboru; Kuroda, Masashi; Tanaka, Katsuya; Tsutsumi, Yasuo M.; Sakaue, Hiroshi
• 著者標目: Sebe, Mayu; Tsutsumi, Rie; Oyama, Takuro; Horikawa, Yousuke T.; Uemura, Yuta; Kakuta, Nami; Sakai, Yoko; Morio, Atsushi; Miyoshi, Hirotsugu; Kondo, Takashi; Urabe, Tomoaki; Noda, Yuko; Kamiya, Satoshi; Saeki, Noboru; Kuroda, Masashi; Tanaka, Katsuya; Tsutsumi, Yasuo M.; Sakaue, Hiroshi
• 出版事項: Tokushima University Faculty of Medicine
• 出版年月日等: 2020-02
• 出版年（W3CDTF）: 2020-02
• 並列タイトル等: 高齢患者における外科的大動脈弁置換術と経カテーテル大動脈弁留置術間の術後栄養状態と身体機能の評価; Postoperative assessment after AVR and TAVI
• タイトル（掲載誌）: The Journal of Medical Investigation
• 巻号年月日等（掲載誌）: 67 1-2
• 掲載巻: 67
• 掲載号: 1-2
• 掲載ページ: 139-144
• ISSN（掲載誌）: ISSN : 1349-6867; ISSN : 1343-1420
• 授与機関名: 徳島大学
• 授与年月日: 2020-03-23
• 報告番号: 甲第3414号
• 学位: 博士（栄養学）
• 本文の言語コード: eng
• 件名標目: Aortic stenosis; Surgical aortic valve replacement; Transcatheter aortic valve implant; Nutrition intake; Physical function
• 対象利用者: 一般
• 一般注記: Background and aims : Severe aortic stenosis (AS) has been normally treated with surgical aortic valve replacement (AVR) whereas recently, transcatheter aortic valve implantation (TAVI) has been introduced as a minimally invasive operation for patients with high surgical risk and frailty. In this study, we have evaluated postoperative physical function and nutrition intake in the patients following AVR and TAVI. Methods : This prospective observational study involved 9 patients with surgical aortic valve replacement (AVR) and 7 patients with transcatheter aortic valve implantation (TAVI). Body composition was measured one day prior surgery, postoperative day (POD) 1, POD 3, POD 5 and POD 7. Hand grip strength, calf circumference and gait speed were measured one day before surgery and on the day of discharge. Results : Skeletal muscle was significantly decreased in AVR patients at postoperative day 3 and 7, while there was no change in TAVI patients. Patients with TAVI showed higher dietary intake after surgery compared to patients with AVR, and they maintained hand grip strength and calf circumference at discharge. Conclusions : In elderly patients with AS, TAVI can improve post-operative recovery maintaining nutritional status and physical function even.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.2152/jmi.67.139
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/114644/20200420180524847316/k3414_abstract_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/114644/20200420180525283037/k3414_fulltext.pdf fulltext