{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:34:26Z","timestamp":1785429266833,"version":"3.56.0"},"reference-count":39,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Theo und Friedl Sch\u00f6ller-Stiftung","award":["300000\u20ac"],"award-info":[{"award-number":["300000\u20ac"]}]},{"award":["300000\u20ac"],"award-info":[{"award-number":["300000\u20ac"]}],"id":[{"id":"https:\/\/ror.org\/03h9eev95","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Because of demographic changes, the number of older patients undergoing cardiac interventions has increased. The most common indication in this group is aortic valve stenosis, treated with either surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVR), with good outcomes. Our study investigated whether the heart team\u2019s choice of intervention (TAVI, SAVR, or conservative) is influenced by geriatric assessment results. Methods: This study was a single-centre, prospective, longitudinal case\u2013control study conducted over 12 months and did not affect routine diagnostic examinations or clinical decisions. After risk stratification and clinical evaluation, patients were assigned to undergo TAVI, SAVR, or conservative management. Cardiological evaluation and geriatric assessment were performed for up to 12 months. Results: Of 135 patients (mean age 81 \u00b1 4.6 years), 60% underwent TAVI, 29% SAVR, and 11% conservative therapy. Age, Frailty Score, cognition, and nutritional status were significantly associated with the heart team\u2019s decision, whereas EuroSCORE II remained the only independent predictor of one-year mortality (OR 1.58, 95% CI 1.13\u20132.19, p = 0.007). One-year mortality was 9.9% (n = 11). Compared to the literature, one-year mortality was lower than expected, particularly in the intervention group. Conclusions: Single assessment tools did not have the power to predict mortality. Similar to other trials, a combination of different scores can assess the risk of mortality.<\/jats:p>","DOI":"10.3390\/jcm15103750","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T16:26:37Z","timestamp":1778689597000},"page":"3750","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["FOOPAS Study: Functional Assessment and Prognostic Value in Aortic Valve Replacement for Patients \u2265 75 Years"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4791-0098","authenticated-orcid":false,"given":"Dennis","family":"Eckner","sequence":"first","affiliation":[{"name":"Department of Cardiology, Klinikum N\u00fcrnberg Paracelsus Medical University Nuremberg, 90471 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Wicklein","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Paracelsus Medical University Nuremberg, 90419 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Gosch","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Paracelsus Medical University Nuremberg, 90419 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodor","family":"Fischlein","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Paracelsus Medical University Nuremberg, 90419 Nurnberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basel","family":"Habboub","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Paracelsus Medical University Nuremberg, 90419 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Jessl","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Klinikum N\u00fcrnberg Paracelsus Medical University Nuremberg, 90471 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Pauschinger","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Klinikum N\u00fcrnberg Paracelsus Medical University Nuremberg, 90471 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1924-6823","authenticated-orcid":false,"given":"Ferdinand","family":"Vogt","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Paracelsus Medical University Nuremberg, 90419 Nurnberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.4244\/EIJY15M09_11","article-title":"Transcatheter aortic valve implantation (TAVI) in Germany 2008\u20132014: On its way to standard therapy for aortic valve stenosis in the elderly?","volume":"11","author":"Eggebrecht","year":"2016","journal-title":"EuroIntervention"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.ahj.2011.12.005","article-title":"Immediate and late outcome of patients aged 80 years and older undergoing isolated aortic valve replacement: A systematic review and meta-analysis of 48 studies","volume":"163","author":"Vasques","year":"2012","journal-title":"Am. 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