Relationship between baseline patient-reported health status and patient-centered outcomes after transcatheter aortic valve replacement.
Daijiro Tomii, Jonas Lanz, Dik Heg et al.
✦ AI-curated · Sources linked
In 30 seconds
This post hoc analysis of the multicenter SCOPE I randomized trial examined the relationship between baseline patient-reported health status and outcomes after transcatheter aortic valve replacement (TAVR) in 692 patients with symptomatic severe aortic stenosis. Higher baseline Kansas City Cardiomyopathy Questionnaire overall summary scores (KCCQ-OS) were linked to a greater likelihood of being alive with good health status at 3 years post-TAVR, with an adjusted odds ratio of 5.15 for KCCQ-OS 75-100 compared to 0-25.
Key findings
- Median baseline KCCQ-OS was 54.9, with 10.7% scoring <25.
- Patients with KCCQ-OS 50-75 had an adjusted odds ratio of 2.25 for good health status.
- Patients with KCCQ-OS 75-100 had an adjusted odds ratio of 5.15 for good health status.
- A linear relationship was observed between baseline KCCQ-OS and all-cause mortality.
Why it matters
Understanding the impact of baseline health status on post-TAVR outcomes can help clinicians better assess patient prognosis and tailor preoperative counseling and management strategies.