Heart Failure
Conditions
Keywords
Advanced Heart Failure, Ventricular Assist Device, Heart Transplantation, Frailty, Sarcopenia, Bioelectrical Impedance Analysis, Muscle Mass
Brief summary
Feasibility and Comparison of the Impact of different Frailty Assessment Tools on the Outcome of Ventricular Assist Device Implantation and Heart Transplantation in advanced heart failure patients
Detailed description
Comparison of the feasibility and results of the following frailty assessment tools in advanced heart failure patients treated with ventricular assist device Implantation or awaiting heart transplantation in Eurotransplant-Status high urgency: * Evaluation of the muscle mass in the preoperative CT-Scan * Bioelectrical Impedance Analysis * 6 Minute Walk Test * Grip Strength Measurement * Questionnaires: EQ5D-5L, Rockwood Frailty Scale The assessment will be conducted prior to surgery, after surgery and at 6 Month Follow-up
Interventions
Bioelectrical Impedance Analysis 6 Minute Walk Test Grip Strength Questionnaires Muscle Mass Evaluation via CT
Sponsors
Study design
Eligibility
Inclusion criteria
* Planned VAD Implantation/ HU-Status awaiting Heart Transplantation * Signature on Informed Consent
Exclusion criteria
* \< 18 years old * Informed consent not possible/not signed * Pregnancy/Breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Impact of frailty estimated by the different frailty assessment tools on the outcome 6 month mortality and/or prolonged ventilation time | After 6 Month | Combined Endpoint: Endpoint is met if the Patient dies within 6 month after surgery and/or needed of a prolonged ventilation time of \>95h during the ICU stay after surgery |
| Incidence of not performed tests due to clinical concerns/inability of the patient (feasibility and safety) | Pre-operative measurements, | Number of patients, who were not able to perform tests and reasons |
Countries
Germany