valvular heart disease
Conditions
Interventions
control group:Routine treatment
intervention group:The intervention group added the "preoperative rehabilitation nursing intervention model based on multidisciplinary care for elderly frail valve-injecting patients" on top of the ro
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
65 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age greater than 65 years; 2. Evaluated by a multidisciplinary team and meeting the indications for TAVR surgery, intending to undergo elective TAVR surgery; 3. Preoperative assessment indicates a frail state (Basic Frailty Assessment Tool score >= 3 points); 4. Cardiac function classified as NYHA grade I-III; 5. The patient or their legal representative understands this study and signs a written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Severe cognitive dysfunction, mental illness or neuromuscular disorders that prevent participation in rehabilitation training; 2. Received respiratory training or rehabilitation training within 8 weeks; 3. Had preoperative infectious endocarditis or aortic dissection and required mechanical circulatory support (extracorporeal membrane oxygenation, aortic balloon counterpulsation, ventricular assist device); 4. Participated in other clinical intervention studies within the past 3 months; 5. Expected survival period is less than 6 months due to non-cardiac diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 6-minute walking distance;EQ-5D; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospital-associated disability, HAD;postoperative complications; | — |
Countries
China
Contacts
Public ContactChen Miao
West China Hospital, Sichuan University
Outcome results
None listed