Assessment and Evaluation of the Quality of Life of Saudi Patients Underwent Coronary Artery Bypass Graft (2 - 5 Years)

Abstract

Background: Cardiovascular disease (CVD) is a cluster of diseases that involve heart and blood vessels (10). They also include coronary heart disease (CHD), coronary artery disease (CAD), and acute coronary syndrome (ACS). This paper aimed at measuring the quality of life after coronary artery bypass graft procedure and determine the factors that affect the quality of life. Methods: Data was collected via a structured close-ended questionnaire in which 100 (male and female, aged 40-60) were questioned. Patients were chosen after underwent CABG surgery 2 to5 years. Results: Carried out as good 36% for their general heath and 24% very good. The activities indicated that there was a significant difference between males and females. Moreover, female participants were significantly different from male (P. value <0.05) in their perception towards own health. Elder participants (56-60 years) were feeling better in comparison with middle age (40-49 years), (P. value 0.002). Conclusion and recommendations: The core domains related with the quality of life, that affected are physical functioning, bodily pain, social functioning and emotion, Therefore, health care specialists must plan for interventions towards improving the HRQOL to decrease the complications of CABG surgery. We recommend the establishment of a special center for rehabilitation of patients underwent CABG. Moreover, providing a further minimal invasive procedure to improve HRQOL.

Long Term Health Outcomes Following Coronary Artery Bypass Grafting: A Different Journey for Men and Women

“…Although the incidences of hypertension for women (79.5%) and men (86.3%) in this study were not statistically different (p=0.2899), the presence of hypertension in women is thought to magnify their susceptibility to coronary events by comparison with similar levels of hypertension in men 10 . Also women tend to present coronary symptoms at a later age than men resulting in an increased urgency of coronary procedure 10,25,27,37 , although this explanation does not apply to the women in this study. As commented previously, Figure 3 indicates that the long term slopes of the survival curves for both genders are not greatly different suggesting that the long term survival rates for both genders are similar 26,27 ; the increased female mortality occurs in the short to medium term post operation.…”

“…In this investigation both sexes received, on average, an immediate and significant improvement in HRQoL as a result of surgery (Table 1) in keeping with the findings of other studies 10,30,36,40 . On balance, female age was not a discriminatory factor with regard to HRQoL after CABG 11,27,[36][37][38] . Although younger women experienced greater short term gains in HRQoL, older women showed these gains over the longer term (Sections 3.1, 3.2).…”

“…Although younger women experienced greater short term gains in HRQoL, older women showed these gains over the longer term (Sections 3.1, 3.2). On balance, male age was also not a discriminatory factor with regard to HRQoL after CABG 11,27,[36][37][38] but for the opposite reason. While older men achieved higher short term gains in HRQoL as a result of the CABG intervention, over the longer term these same patients struggled to retain these gains (Sections 3.1, 3.2).…”

“…Much commentary has reported on male and female differences and experiences in CHD ranging from symptom presentation, investigation practices and outcomes of treatments including the investigation of outcomes following coronary bypass surgery. Durations of study typically divide into periods of 12 months or less 24,[30][31][32][33][34][35][36] , periods of around four to five years 7,11,25,37,38 and periods of eight or more years 39,40 of which this study examining survival to 18 years post-operatively is an example. Briefly, the literature reports that HRQoL initially improves significantly post surgery for both genders although women experience excess mortality.…”

Quality of Life for Patients After Coronary Artery Bypass Grafting

“…In the United States, 219,000 CABG surgeries were conducted in 2010. (Albilasi, 2018). CABG has a 3% overall mortality rate, while elective primary coronary bypass has a 1.7% mortality rate.…”