{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T16:55:27Z","timestamp":1778432127297,"version":"3.51.4"},"reference-count":31,"publisher":"S. Karger AG","issue":"7","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Background:<\/i><\/b> For patients with transcatheter aortic valve replacement (TAVR), increased length of stay (LOS) is associated with increased long-term mortality. The main objective of our study was to analyze the association between geriatrics factors and the hospital LOS for older patients undergoing TAVR for severe aortic stenosis. <b><i>Methods:<\/i><\/b> This retrospective single-center study included all patients aged \u226575 who underwent TAVR between January 2018 and January 2019. Hospital LOS and postoperative complications were analyzed regarding the geriatric factors recorded during a systematic preoperative, comprehensive geriatric assessment (CGA). The individualized-care plans established after the preoperative CGA were also analyzed. <b><i>Results:<\/i><\/b> median LOS of the 196 patients included was 6 days (interquartile range: 4\u20138), and 29% of patients had prolonged LOS. In a multivariable analysis, the preoperative factors associated with a prolonged hospital LOS were EuroSCORE I (<i>p<\/i> value = 0.02), prior major neurocognitive disorders (<i>p<\/i> value = 0.01), femoral access (<i>p<\/i> value &#x3c;0.001), all complications (<i>p<\/i> value &#x3c;0.001), and discharge in a rehabilitation center (<i>p<\/i> value &#x3c;0.001). One-fourth (27%) of the patients had at least 1 geriatric complication. After CGA, 69 patients did not need any geriatric recommendation, whereas for the 127 other patients, an individualized-care plan was established but only 46 (36%) of them were followed up. <b><i>Conclusion:<\/i><\/b> Our results favor the preoperative screening for major neurocognitive disorders in order to reduce LOS. Furthermore, the proposed individual-care plans after CGA were poorly followed. Practitioners may perceive the preoperative CGA as a screening tool, but its primary objective is to develop an individualized-care plan as a prehabilitation plan in order to optimize the physical, functional, and social issues. <\/jats:p>","DOI":"10.1159\/000518821","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T22:00:32Z","timestamp":1637964032000},"page":"746-754","source":"Crossref","is-referenced-by-count":10,"title":["Length of Stay in Older Patients Undergoing Transcatheter Aortic Valve Replacement: Value of a Geriatric Approach"],"prefix":"10.1159","volume":"68","author":[{"given":"Anne Sophie","family":"Bobet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Brouessard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Le 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