Kiani et al used a simple screen to determine if a patient undergoing a transcatheter aortic valve replacement (TAVR) may be frail. A patient who has signs of frailty is at greater risk for complications after the procedure.
Patient selection: age >= 65 years
Parameters:
(1) serum albumin in g/dL
(2) anemia based on hemoglobin and sex
(3) 5-meter walking test
Parameter
Finding
Points
serum albumin
>= 3.5 g/dL
0
< 3.5 g/dL
1
hemoglobin and sex
male and >= 13 g/dL
0
male and < 13 g/dL
1
female and>= 12 g/dL
0
female and < 12 g/dL
1
5-meter walking test
completed in <= 6 seconds
0
completed in > 6 seconds
1
unable to complete
1
where:
• Serum albumin is also used as a measure of malnutrition.
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The presence of any of the factors was associated with greater morbidity and/or mortality, including bleeding and rehospitalization.
To read more or access our algorithms and calculators, please log in or register.
