Publications by authors named "Jopie Polderman"
Article Synopsis
- The PERFORM-TAVR trial aims to explore the combined effects of exercise and protein supplementation on older adults with frailty undergoing transcatheter aortic valve replacement (TAVR), which currently shows high procedural success but still leaves many patients with poor health outcomes.
- This multicentre trial will enroll 200 frail adults aged 70 and older, randomly assigning them to either standard lifestyle education (control) or a regimen involving protein-rich supplements and supervised exercises post-TAVR.
- The main goal is to measure physical performance improvements at 3 months, along with secondary outcomes like health-related quality of life and safety assessments over a year, potentially reshaping approaches to treating frailty alongside heart valve diseases.
Article Synopsis
- Early mobilization after transfemoral TAVI improves outcomes for older patients, and a nurse-led protocol was tested for effectiveness.
- A study involving 139 patients showed that most could be mobilized within 4 hours after the procedure, although some faced delays due to medical reasons or system issues.
- The findings suggest that implementing a standardized mobilization protocol can be beneficial when there are no clinical complications or significant barriers to moving patients.
Aims: Mitral valve transcatheter edge-to-edge repair (TEER) is a minimally invasive treatment option for patients with severe symptomatic mitral regurgitation who are at increased risk for cardiac surgery and are receiving optimal medical therapy. Little is known about patients' perspectives on their journey of care, including their experiences leading up to treatment and their early recovery period. The aim of this study was to explore patients' experiences of their journey to TEER and their perspectives on early recovery.
View Article and Find Full Text PDFBackground: The current coronavirus disease 2019 (COVID-19) pandemic is creating unprecedented and unchartered demands on critical care units to meet patient needs and adapt the delivery of health services. Critical care nurses play a pivotal role in developing models of care that are effective, flexible, and safe.
Objectives: We report on the accelerated development of a critical care nursing surge model responsive to escalating needs for intensive care capacity.
Background: The long-term clinical performance of transcatheter heart valves (THV) is unknown.
Aims: This study assessed the clinical outcomes, rate of structural valve deterioration (SVD) and bioprosthetic valve failure in patients after transcatheter aortic valve replacement (TAVR) to 10-year follow-up.
Methods: Consecutive patients undergoing TAVI for native aortic valve stenosis or failed aortic surgical bioprosthesis, between 2005 and 2009 at our institution were included.
Background: Patients who have had transcatheter aortic valve replacement (TAVR) are at risk of hospitalization during the first year postprocedure. Few studies have examined the incidence of heart- failure hospitalizations (HFH) post-TAVR and the impact this has on subsequent hospitalizations and mortality. Our aim was to determine the incidence, predictors, and mortality associated with HFH post-TAVR.
View Article and Find Full Text PDFBackground: Transcatheter aortic valve replacement (TAVR) can cause injury to the atrioventricular conduction system. We evaluated the effect of transcatheter heart valve (THV) type on the rate of new pacemaker implantation and length of hospital stay.
Methods: Patients across all hospitals performing transfemoral TAVR in the province of British Columbia between 2012 and 2016 participated in a mandated registry with linkages to provincial health databases.
We describe the development, implementation, and evaluation of a standardized clinical pathway to facilitate safe discharge home at the earliest time after transfemoral transcatheter aortic valve replacement. Between May 2012 and October 2014, the Heart Team developed a clinical pathway suited to the unique requirements of transfemoral transcatheter aortic valve replacement in contemporary practice. The components included risk-stratified minimalist periprocedure approach, standardized postprocedure care with early mobilization and reconditioning, and criteria-driven discharge home.
View Article and Find Full Text PDFArticle Synopsis
- This study developed a multicenter transcatheter aortic valve replacement (TAVR) program in British Columbia to enhance coordinated care for high-risk patients with severe aortic stenosis.
- The study included 583 patients between 2012 and 2014 and involved a structured approach to care, with specialized heart teams managing patient selection and treatment at multiple sites.
- Among the patients, the average age was 83, and the 30-day mortality rate was 3.5%, showcasing the effectiveness and safety of the regional TAVR care system.