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ID 114644
タイトル別表記
高齢患者における外科的大動脈弁置換術と経カテーテル大動脈弁留置術間の術後栄養状態と身体機能の評価
Postoperative assessment after AVR and TAVI
著者
瀬部, 真由 徳島大学大学院栄養生命科学教育部(人間栄養科学専攻)
Horikawa, Yousuke T. Tokushima University|Sharp Rees-Stealy Medical Group
Morio, Atsushi Hiroshima University
Miyoshi, Hirotsugu Hiroshima University
Kondo, Takashi Hiroshima University
Urabe, Tomoaki Hiroshima University
Noda, Yuko Hiroshima University
Kamiya, Satoshi Hiroshima University
Saeki, Noboru Hiroshima University
キーワード
Aortic stenosis
Surgical aortic valve replacement
Transcatheter aortic valve implant
Nutrition intake
Physical function
資料タイプ
学位論文
抄録
Background and aims : Severe aortic stenosis (AS) has been normally treated with surgical aortic valve replacement (AVR) whereas recently, transcatheter aortic valve implantation (TAVI) has been introduced as a minimally invasive operation for patients with high surgical risk and frailty. In this study, we have evaluated postoperative physical function and nutrition intake in the patients following AVR and TAVI. Methods : This prospective observational study involved 9 patients with surgical aortic valve replacement (AVR) and 7 patients with transcatheter aortic valve implantation (TAVI). Body composition was measured one day prior surgery, postoperative day (POD) 1, POD 3, POD 5 and POD 7. Hand grip strength, calf circumference and gait speed were measured one day before surgery and on the day of discharge. Results : Skeletal muscle was significantly decreased in AVR patients at postoperative day 3 and 7, while there was no change in TAVI patients. Patients with TAVI showed higher dietary intake after surgery compared to patients with AVR, and they maintained hand grip strength and calf circumference at discharge. Conclusions : In elderly patients with AS, TAVI can improve post-operative recovery maintaining nutritional status and physical function even.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
67
1-2
開始ページ
139
終了ページ
144
並び順
139
発行日
2020-02
備考
内容要旨・審査要旨・論文本文の公開
本論文は, 著者Mayu Sebeの学位論文として提出され, 学位審査・授与の対象となっている。
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3414号
学位記番号
甲栄第275号
学位授与年月日
2020-03-23
学位名
博士(栄養学)
学位授与機関
徳島大学
部局
医学系
病院