The impact of transcatheter aortic valve implantation on quality of life: A mixed methods study

Felicity Astin, Judith Horrocks, Jim McLenachan, Daniel J. Blackman, John Stephenson, José Closs

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To provide an in-depth understanding of patients' views about the impact of transcatheter aortic valve implantation on self-reported quality of life. Background: Transcatheter aortic valve implantation is considered to be the gold standard of care for inoperable patients diagnosed with severe symptomatic aortic stenosis. Mid- to long-term clinical outcomes are favourable and questionnaire data indicates improvements in quality of life but an in-depth understanding of how quality of life is altered by the intervention is missing.

Methods: A mixed methods study design with a total of 89 in-depth qualitative interviews conducted with participants (39% male; mean age 81.7 years), 1 and 3 months post TAVI, recruited from a regional centre in England. Data were triangulated with questionnaire data (SF-36 and EQ5D-VAS) collected, pre, 1 and 3 months post implantation.

Results: Participants' accounts were characterised by four key themes; shortened life, extended life, limited life and changed life. Quality of life was changed through two mechanisms. Most participants reported a reduced symptom burden and all explained that their life expectancy was improved. Questionnaire data supported interview data with gradual improvements in mean EQ-5D scores and SF-36 physical and mental domain scores at 1 and 3 months compared to baseline.

Conclusion: Findings suggest that TAVI was of variable benefit, producing considerable improvements in either mental or physical health in many participants, while a smaller proportion continued to deteriorate.
LanguageEnglish
Pages432-438
Number of pages7
JournalHeart and Lung: Journal of Acute and Critical Care
Volume46
Issue number6
Early online date3 Oct 2017
DOIs
Publication statusPublished - 1 Nov 2017

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Quality of Life
Interviews
Aortic Valve Stenosis
Standard of Care
Life Expectancy
England
Transcatheter Aortic Valve Replacement
Health
Surveys and Questionnaires

Cite this

Astin, Felicity ; Horrocks, Judith ; McLenachan, Jim ; Blackman, Daniel J. ; Stephenson, John ; Closs, José. / The impact of transcatheter aortic valve implantation on quality of life : A mixed methods study. In: Heart and Lung: Journal of Acute and Critical Care. 2017 ; Vol. 46, No. 6. pp. 432-438.
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The impact of transcatheter aortic valve implantation on quality of life : A mixed methods study. / Astin, Felicity; Horrocks, Judith; McLenachan, Jim; Blackman, Daniel J.; Stephenson, John; Closs, José.

In: Heart and Lung: Journal of Acute and Critical Care, Vol. 46, No. 6, 01.11.2017, p. 432-438.

Research output: Contribution to journalArticle

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