Background The study aimed to evaluate the long-term change of health-related quality of life (HRQOL) and to identify predictors of HRQOL 5 years after cardiac surgery. Methods Consecutive adult patients, undergoing elective cardiac surgery were enrolled in the study. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before and 5-years after cardiac surgery. A multivariate latent change modeling approach was used for data analysis. Results 210 participants (30.5% female) were reached at 5-year follow-up and included in final data analysis. The study revealed, after controlling for gender effects, a significant long-term positive change, in physical functioning (PF, Mslope = 19.79, p < 0.001), social functioning (SF, Mslope = 17.27, p < 0.001), vitality (VT, Mslope = 6.309, p < 0.001) and mental health (MH, Mslope = 8.40, p < .001) in the total sample. Lower education was associated with an increase in PF (Mslope = 24.09, p < 0.001) and VT (Mslope = 8.39, p < 0.001), more complicated surgery (other than the coronary artery bypass graft (CABG) predicted increase in general health (GH, Mslope = 6.76, p = 0.005). Arrhythmia was a significant predictor for lower pre- and post-operative VT and SF. Conclusions Overall HRQOL in our sample improved from baseline to five years postoperatively. Further studies including larger patient groups are needed to confirm these findings.
Background. Heart surgery is a major stressful event that can have a significant negative effect on patients’ quality of life (QoL) and may cause long-term posttraumatic stress reactions. The aim of this pilot study was to estimate the longitudinal change and predictors of health-related quality of life (HRQOL) dynamics and identify factors associated with PTS at 5-year follow-up (T2) after elective cardiac surgery and associations with pre-surgery (T1) QoL. Materials and methods. Single-centre prospective study was conducted after Regional Bioethics Committee approval. Adult consecutive patients undergoing elective cardiac surgery were included. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before (T1) and 5-years after (T2) cardiac surgery. Posttraumatic stress was assessed using the International Trauma Questionnaire. Results. The pilot study revealed a significant positive change at 5-year follow-up in several domains of SF-36: physical functioning (PF), energy/fatigue (E/F), and social functioning (SF). Prolonged postoperative hospital stay was associated with change in SF (p < 0.01), E/F (p < 0.05) and emotional well-being (p < 0.05). The percentage of patients that had the posttraumatic stress disor. der (PTSD) at T2 was 12.2%. Posttraumatic stress symptoms were associated with longer hospitalization after surgery (p < 0.01). Conclusions. HRQOL improved from baseline to five years postoperatively. Patients with lower preoperative HRQOL scores tended to have a more significant improvement of HRQOL five years after surgery. A prolonged postoperative hospital stay had a negative impact on postoperative social functioning, energy/fatigue, and emotional well-being. Increased levels of PTSD were found in cardiac surgery patients following five years after the surgery.
Įvadas Dauguma į virškinamąjį traktą patekusių svetimkūnių pasišalina savaime, tačiau nuryti magnetiniai svetimkūniai dėl tarpusavio traukos per žarnyno sienas gali sukelti gyvybei grėsmingų komplikacijų.Tikslas Nustatyti magnetinių svetimkūnių virškinamajame trakte klinikinę išraišką, diagnostikos ir gydymo metodus.Metodai Atlikta retrospektyvioji VUL SK Vaikų ligoninėje 2011 m. sausio–2016 m. sausio mėn. laikotarpiu gydytų magnetinių svetimkūnių virškinamajame trakte atvejų analizė. Rinkti ir analizuoti pacientų demografiniai, klinikiniai, radiologiniai duomenys ir operacijų protokolai.Rezultatai Tiriamuoju laikotarpiu nustatyti septyni magnetinių svetimkūnių virškinamajame trakte atvejai. Trims pacientams magnetai rasti skrandyje, šiems pacientams simptomų nebuvo, dviem iš jų buvo atliktas endoskopinis magnetų šalinimas. Trims pacientams magnetai rasti plonojoje žarnoje, du pacientai skundėsi pilvo skausmais, abiem atliktas laparoskopinis magnetų šalinimas. Vienam besimptomiam pacientui magnetai rasti storojoje žarnoje, jie pasišalino savaime paskyrus vidurių laisvinamuosius vaistus.Išvados Diagnozavus magnetinius svetimkūnius virškinamajame trakte, pacientą būtina aktyviai stebėti arba magnetinius svetimkūnius šalinti dėl didelės komplikacijų rizikos.
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