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

• Material Type: 博士論文
• Title: Assessment of postoperative nutritional status and physical function between open surgical aortic valve replacement and transcatheter aortic valve implantation in elderly patients
• Author/Editor: 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
• Author Heading: 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
• Publication, Distribution, etc.: Tokushima University Faculty of Medicine
• Publication Date: 2020-02
• Publication Date (W3CDTF): 2020-02
• Alternative Title: 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
• Periodical title: The Journal of Medical Investigation
• No. or year of volume/issue: 67 1-2
• Volume: 67
• Issue: 1-2
• Pages: 139-144
• ISSN (Periodical Title): ISSN : 1349-6867; ISSN : 1343-1420
• Degree grantor/type: 徳島大学
• Date Granted: 2020-03-23
• Dissertation Number: 甲第3414号
• Degree Type: 博士（栄養学）
• Text Language Code: eng
• Subject Heading: Aortic stenosis; Surgical aortic valve replacement; Transcatheter aortic valve implant; Nutrition intake; Physical function
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2152/jmi.67.139
• Data Provider (Database): 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
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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

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