Impact of the Clinical Frailty Scale on Outcomes After Transcatheter Aortic Valve Replacement
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- Tetsuro Shimura
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Masanori Yamamoto
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Seiji Kano
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Ai Kagase
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Atsuko Kodama
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Yutaka Koyama
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Etsuo Tsuchikane
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Takahiko Suzuki
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Toshiaki Otsuka
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Shun Kohsaka
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Norio Tada
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Futoshi Yamanaka
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Toru Naganuma
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Motoharu Araki
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Shinichi Shirai
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Yusuke Watanabe
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Kentaro Hayashida
- From Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan (T. Shimura, M.Y., A. Kagase, A. Kodama, E.T., T. Suzuki); Department of Cardiology, Nagoya Heart Center, Japan (M.Y., S. Kano, Y.K.); Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan (T.O.); Center for Clinical Research, Nippon Medical School Hospital, Tokyo, Japan (T.O.); Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (S. Kohsaka, K.H.); Department of Cardiology, Sendai...
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- Fumiaki Yashima
- Keio University School of Medicine, Tokyo, Japan
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- Taku Inohara
- Keio University School of Medicine, Tokyo, Japan
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- Yuki Kakefuda
- Keio University School of Medicine, Tokyo, Japan
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- Takahide Arai
- Keio University School of Medicine, Tokyo, Japan
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- Ryo Yanagisawa
- Keio University School of Medicine, Tokyo, Japan
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- Makoto Tanaka
- Keio University School of Medicine, Tokyo, Japan
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- Takashi Kawakami
- Keio University School of Medicine, Tokyo, Japan
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- Yuichiro Maekawa
- Keio University School of Medicine, Tokyo, Japan
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- Kohno Takashi
- Keio University School of Medicine, Tokyo, Japan
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- Akihiro Yoshitake
- Keio University School of Medicine, Tokyo, Japan
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- Yasunori Iida
- Keio University School of Medicine, Tokyo, Japan
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- Masataka Yamazaki
- Keio University School of Medicine, Tokyo, Japan
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- Hideyuki Shimizu
- Keio University School of Medicine, Tokyo, Japan
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- Yoshitake Yamada
- Keio University School of Medicine, Tokyo, Japan
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- Masahiro Jinzaki
- Keio University School of Medicine, Tokyo, Japan
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- Hikaru Tsuruta
- Keio University School of Medicine, Tokyo, Japan
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- Yuji Itabashi
- Keio University School of Medicine, Tokyo, Japan
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- Mitsushige Murata
- Keio University School of Medicine, Tokyo, Japan
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- Michiyuki Kawakami
- Keio University School of Medicine, Tokyo, Japan
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- Shogo Fukui
- Keio University School of Medicine, Tokyo, Japan
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- Motoaki Sano
- Keio University School of Medicine, Tokyo, Japan
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- Keiichi Fukuda
- Keio University School of Medicine, Tokyo, Japan
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- Soh Hosoba
- Toyohashi Heart Center, Toyohashi, Japan
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- Hirotomo Sato
- Toyohashi Heart Center, Toyohashi, Japan
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- Tomohiko Teramoto
- Toyohashi Heart Center, Toyohashi, Japan
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- Masashi Kimura
- Toyohashi Heart Center, Toyohashi, Japan
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- Mitsuru Sago
- Toyohashi Heart Center, Toyohashi, Japan
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- Tatsuya Tsunaki
- Toyohashi Heart Center, Toyohashi, Japan
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- Shoko Watarai
- Toyohashi Heart Center, Toyohashi, Japan
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- Masanao Tsuzuki
- Toyohashi Heart Center, Toyohashi, Japan
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- Keisuke Irokawa
- Toyohashi Heart Center, Toyohashi, Japan
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- Kazuki Shimizu
- Toyohashi Heart Center, Toyohashi, Japan
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- Toshihiro Kobayashi
- Nagoya Heart Center, Nagoya, Japan
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- Yasuhide Okawa
- Nagoya Heart Center, Nagoya, Japan
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- Masaki Miyasaka
- Senedai Kousei Hospital, Sendai, Japan
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- Yusuke Enta
- Senedai Kousei Hospital, Sendai, Japan
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- Koki Shishido
- Shonan Kamakura General Hospital, Kamakura, Japan
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- Tomoki Ochiai
- Shonan Kamakura General Hospital, Kamakura, Japan
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- Tsuyoshi Yamabe
- Shonan Kamakura General Hospital, Kamakura, Japan
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- Kenichiro Noguchi
- Shonan Kamakura General Hospital, Kamakura, Japan
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- Shigeru Saito
- Shonan Kamakura General Hospital, Kamakura, Japan
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- Hiroyoshi Kawamoto
- New Tokyo Hospital, Chiba, Japan
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- Hirokazu Onishi
- New Tokyo Hospital, Chiba, Japan
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- Hiroto Yabushita
- New Tokyo Hospital, Chiba, Japan
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- Satoru Mitomo
- New Tokyo Hospital, Chiba, Japan
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- Sunao Nakamura
- New Tokyo Hospital, Chiba, Japan
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- Masahiro Yamawaki
- Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
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- Yui Akatsu
- Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
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- Yosuke Honda
- Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
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- Takuro Takama
- Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
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- Akihito Isotani
- Kokura Memorial Hospital, Kokura, Japan
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- Masaomi Hayashi
- Kokura Memorial Hospital, Kokura, Japan
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- Norihiko Kamioka
- Kokura Memorial Hospital, Kokura, Japan
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- Mizuki Miura
- Kokura Memorial Hospital, Kokura, Japan
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- Takashi Morinaga
- Kokura Memorial Hospital, Kokura, Japan
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- Tomohiro Kawaguchi
- Kokura Memorial Hospital, Kokura, Japan
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- Mariko Yano
- Kokura Memorial Hospital, Kokura, Japan
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- Michiya Hanyu
- Kokura Memorial Hospital, Kokura, Japan
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- Yoshio Arai
- Kokura Memorial Hospital, Kokura, Japan
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- Hideki Tsubota
- Kokura Memorial Hospital, Kokura, Japan
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- Masafumi Kudo
- Kokura Memorial Hospital, Kokura, Japan
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- Yuki Kuroda
- Kokura Memorial Hospital, Kokura, Japan
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- Akihisa Kataoka
- Teikyo University School of Medicine, Tokyo, Japan
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- Hitofumi Hioki
- Teikyo University School of Medicine, Tokyo, Japan
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- Yugo Nara
- Teikyo University School of Medicine, Tokyo, Japan
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- Hideyuki Kawashima
- Teikyo University School of Medicine, Tokyo, Japan
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- Fukuko Nagura
- Teikyo University School of Medicine, Tokyo, Japan
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- Makoto Nakashima
- Teikyo University School of Medicine, Tokyo, Japan
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- Kazuya Sasaki
- Teikyo University School of Medicine, Tokyo, Japan
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- Junichi Nishikawa
- Teikyo University School of Medicine, Tokyo, Japan
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- Tomoki Shimokawa
- Teikyo University School of Medicine, Tokyo, Japan
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- Tadanori Harada
- Teikyo University School of Medicine, Tokyo, Japan
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- Ken Kozuma
- Teikyo University School of Medicine, Tokyo, Japan
説明
<jats:sec> <jats:title>Background:</jats:title> <jats:p>The semiquantitative Clinical Frailty Scale (CFS) is a simple tool to assess patients’ frailty and has been shown to correlate with mortality in elderly patients even when evaluated by nongeriatricians. The aim of the current study was to determine the prognostic value of CFS in patients who underwent transcatheter aortic valve replacement.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>We utilized the OCEAN (Optimized Catheter Valvular Intervention) Japanese multicenter registry to review data of 1215 patients who underwent transcatheter aortic valve replacement. Patients were categorized into 5 groups based on the CFS stages: CFS 1-3, CFS 4, CFS 5, CFS 6, and CFS ≥7. We subsequently evaluated the relationship between CFS grading and other indicators of frailty, including body mass index, serum albumin, gait speed, and mean hand grip. We also assessed differences in baseline characteristics, procedural outcomes, and early and midterm mortality among the 5 groups.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p> Patient distribution into the 5 CFS groups was as follows: 38.0% (CFS 1-3), 32.9% (CFS4), 15.1% (CFS 5), 10.0% (CFS 6), and 4.0% (CFS ≥7). The CFS grade showed significant correlation with body mass index (Spearman’s ρ=−0.077, <jats:italic>P</jats:italic> =0.007), albumin (ρ=−0.22, <jats:italic>P</jats:italic> <0.001), gait speed (ρ=−0.28, <jats:italic>P</jats:italic> <0.001), and grip strength (ρ=−0.26, <jats:italic>P</jats:italic> <0.001). Cumulative 1-year mortality increased with increasing CFS stage (7.2%, 8.6%. 15.7%, 16.9%, 44.1%, <jats:italic>P</jats:italic> <0.001). In a Cox regression multivariate analysis, the CFS (per 1 category increase) was an independent predictive factor of increased late cumulative mortality risk (hazard ratio, 1.28; 95% confidence interval, 1.10–1.49; <jats:italic>P</jats:italic> <0.001). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>In addition to reflecting the degree of frailty, the CFS was a useful marker for predicting late mortality in an elderly transcatheter aortic valve replacement cohort.</jats:p> </jats:sec>
収録刊行物
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- Circulation
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Circulation 135 (21), 2013-2024, 2017-05-23
Ovid Technologies (Wolters Kluwer Health)
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詳細情報 詳細情報について
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- CRID
- 1360285711411749504
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- ISSN
- 15244539
- 00097322
- http://id.crossref.org/issn/00097322
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- データソース種別
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- Crossref
- KAKEN