Assessment of the Quality of Life in Patients before and after Coronary Artery Bypass Grafting (CABG): A Prospective Study

Abstract

The aim of this study was to examine the quality of life and to report on the utility and QALY measures in patients before and after coronary artery bypass grafting (CABG); to investigate whether the SF-12 is comparable with the SF-36 for measuring health-related quality of life of patients with CABG; and to determine the impact of individual predictors on poor quality of life assessment after rehabilitation. This prospective study was conducted between January 2017 and December 2018 at the University Hospital Center Osijek, at three time points: pre-operation, 1 month after surgery, and after rehabilitation. The study was conducted with the SF-36 and SF-12 health questionnaires on 47 participants. After rehabilitation, there was a significant improvement in all domains of quality of life. The highest score was given to the change in pain (BP); mean scores were 63.8 (95% CI 56.9 to 70.6) (p = 0.001). The lowest grade (the lowest quality) after rehabilitation was in the domain of limitations due to physical difficulties (RP); arithmetic mean was 48.5 (95% CI 41 to 55.9) (p < 0.001). Quality-adjusted life-year was 0.41 (95% CI 0.38–0.44) after the CABG. The results of this study show that patients with coronary heart disease have poor quality of life before surgery. One month after the surgery, the quality of life improved, but was still inadequate. One year after surgery, satisfactory results were obtained in almost all subscales. The SF-36, SF-12, and its components, can be used effectively in patients with CABG. Age, gender, lifestyle, and risk factors in our sample of participants are not predictors of poor quality of life assessment after rehabilitation.

The Effect of Pulmonary Rehabilitation on Respiratory Functions, and the Quality of Life, following Coronary Artery Bypass Grafting: A Randomised Controlled Study

“…Pulmonary rehabilitation, in addition to increasing oxygen consumption and exercise capacity, improves the QoL of patients undergoing cardiac surgery [48]. In this study, the QoL of patients was [51]. In the literature, most of the improvement in both physical and mental component summary of QoL has been reported to occur in the first 6 months in CABG patients [52,53].…”

“…Valkenet et al (2017), as a result of the study in which they examined the effect of inspiratory muscle exercises on QoL, reported that there was no improvement in quality of life scores [ 50 ]. Pačarić et al (2020) revealed that one month after CABG, the QoL increased, however, it was still insufficient [ 51 ]. In the literature, most of the improvement in both physical and mental component summary of QoL has been reported to occur in the first 6 months in CABG patients [ 52 , 53 ].…”

“…After CABG, the QoL of the patients has been reported to decrease in the early postoperative period[49] Valkenet et al (2017),. as a result of the study in which they examined the effect of inspiratory muscle exercises on QoL, reported that there was no improvement in quality of life scores[50] Pačarić et al (2020). revealed that one month after CABG, the QoL increased, however, it was still insufficient…”

Knowledge and Awareness towards Dental Management of Post-Cardio-Thoracic Surgery Patients among Dental Students

“…of the study population were familiar about dental problems associated with cardiac pacemakers, 24.6% about CABG (Coronary Artery Bypass Graft) and 41.6% were aware of dental problems associated with heart valve replacement (Stent) procedure. Kamath et al [6], Pacaric et al [8], Cruz-Pamplona et al [9] and Cotti et al [10] suggested modified dental treatment and procedural considerations in cardiac disease patients with recent cardio-thoracic surgeries.…”

Comparação de escores de predição de mortalidade em pacientes submetidos a cirurgia cardíaca

“…Comparação de escores de predição de mortalidade em pacientes submetidos a cirurgia cardíaca INTRODUÇÃO A cirurgia cardíaca proporciona aumento na expectativa de vida e melhora do estado geral de saúde em casos em que é recomendada 1 . Dentre as cirurgias cardíacas, a mais realizada é a revascularização do miocárdio (CRM), seguida da cirurgia de troca de válvula (TV) 2 .…”