{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:24:28Z","timestamp":1791041068044,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T00:00:00Z","timestamp":1365638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Aortic stenosis in older adults can lead to symptoms of breathlessness, dizziness, syncope and angina. While surgical <jats:styled-content style=\"fixed-case\">AVR<\/jats:styled-content> is the optimum treatment, it is not suitable for frail older people who may have other significant comorbidities. <jats:styled-content style=\"fixed-case\">TAVI<\/jats:styled-content> provides a safer alternative. There is evidence that aortic valve replacement reduces mortality and morbidity, but less is known about its effect on quality of life (QoL) in older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To carry out a narrative review of the existing literature on quality of life (QoL) after surgical aortic valve replacement (<jats:styled-content style=\"fixed-case\">AVR<\/jats:styled-content>) or transcatheter aortic valve replacement (<jats:styled-content style=\"fixed-case\">TAVI<\/jats:styled-content>) with the aim of identifying what is known about QoL pre\u2010 and postvalve replacement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is some evidence that QoL improves after aortic valve replacement, but there are significant gaps in our knowledge. There are no studies that compare QoL after <jats:styled-content style=\"fixed-case\">TAVI<\/jats:styled-content> vs. surgical <jats:styled-content style=\"fixed-case\">AVR<\/jats:styled-content>; thus, we do not know the relative effect of the different procedures on QoL. The literature does not adequately explore why some people have improved QoL after aortic valve replacement and others do not. There appears to be some evidence that the existence of comorbidities may negatively influence QoL after valve replacement, but there is not enough consistent data on comorbidities to explore this further. Study designs are heterogeneous and prevent any meta\u2010analysis of findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>Decision\u2010making processes regarding the suitability of patients for aortic valve replacement should include an assessment of the potential effects on overall QoL, rather than just relief of cardiac\u2010related symptoms. Consideration of patients' social, emotional and physical needs both before and after valve replacement is essential if health services are serious about improving QoL as well as mortality and morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.12026","type":"journal-article","created":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T09:49:45Z","timestamp":1365673785000},"page":"227-246","source":"Crossref","is-referenced-by-count":12,"title":["Quality of life in older adults with aortic stenosis: a narrative review"],"prefix":"10.1111","volume":"9","author":[{"given":"Judith","family":"Horrocks","sequence":"first","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Closs","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds 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