TY - JOUR
T1 - Rockwood Clinical Frailty Scale as a predictor of adverse outcomes among older adults undergoing aortic valve replacement
T2 - A protocol for a systematic review
AU - Prendiville, Tadhg
AU - Leahy, Aoife
AU - Quinlan, Laura
AU - Saleh, Anastasia
AU - Shanahan, Elaine
AU - Gabr, Ahmed
AU - Peters, Catherine
AU - Casserly, Ivan
AU - O'Connor, Margaret
AU - Galvin, Rose
N1 - Publisher Copyright:
©
PY - 2022/1/11
Y1 - 2022/1/11
N2 - Introduction Frailty is associated with adverse outcomes relating to cardiac procedures. It has been proposed that frailty scoring should be included in the preoperative assessment of patients undergoing aortic valve replacement. We aim to examine the Rockwood Clinical Frailty Scale (CFS), as a predictor of adverse outcomes following aortic valve replacement. Methods and analysis Prospective and retrospective cohort studies and randomised controlled trials assessing both the preoperative frailty status (as per the CFS) and incidence of adverse outcomes among older adults undergoing either surgical aortic valve replacement or transcatheter aortic valve replacement will be included. Adverse outcomes will include mortality and periprocedural complications, as well as a composite of 30-day complications. A search will be conducted from 2005 to present using a prespecified search strategy. Studies will be screened for inclusion by two reviewers, with methodological quality assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Relative risk ratios with 95% CIs will be generated for each outcome of interest, comparing frail with non-frail groups. Data will be plotted on forest plots where applicable. The quality of the evidence will be determined using the Grading of Recommendations, Assessment, Development and Evaluation tool. Ethics and dissemination Ethical approval is not required for this study as no primary data will be collected. We will publish the review in a peer-reviewed journal on completion. PROSPERO registration number CRD42020213757.
AB - Introduction Frailty is associated with adverse outcomes relating to cardiac procedures. It has been proposed that frailty scoring should be included in the preoperative assessment of patients undergoing aortic valve replacement. We aim to examine the Rockwood Clinical Frailty Scale (CFS), as a predictor of adverse outcomes following aortic valve replacement. Methods and analysis Prospective and retrospective cohort studies and randomised controlled trials assessing both the preoperative frailty status (as per the CFS) and incidence of adverse outcomes among older adults undergoing either surgical aortic valve replacement or transcatheter aortic valve replacement will be included. Adverse outcomes will include mortality and periprocedural complications, as well as a composite of 30-day complications. A search will be conducted from 2005 to present using a prespecified search strategy. Studies will be screened for inclusion by two reviewers, with methodological quality assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Relative risk ratios with 95% CIs will be generated for each outcome of interest, comparing frail with non-frail groups. Data will be plotted on forest plots where applicable. The quality of the evidence will be determined using the Grading of Recommendations, Assessment, Development and Evaluation tool. Ethics and dissemination Ethical approval is not required for this study as no primary data will be collected. We will publish the review in a peer-reviewed journal on completion. PROSPERO registration number CRD42020213757.
KW - adverse events
KW - cardiac surgery
KW - geriatric medicine
KW - valvular heart disease
UR - http://www.scopus.com/inward/record.url?scp=85123428791&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2021-049216
DO - 10.1136/bmjopen-2021-049216
M3 - Review article
C2 - 35017235
AN - SCOPUS:85123428791
SN - 2044-6055
VL - 12
JO - BMJ Open
JF - BMJ Open
IS - 1
M1 - e049216
ER -