Changes in health-related quality of life and functional capacity following coronary artery bypass graft surgery

Järvinen, Otso; Saarinen, Timo; Julkunen, Juhani; Huhtala, Heini; Tarkka, Matti

doi:10.1016/s1010-7940(03)00413-5

Cited by 87 publications

(85 citation statements)

References 19 publications

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“…The findings of our study are consistent with findings of some of the earlier studies that reported a general improvement in HRQOL following cardiac surgery [6,9,14]. Our results show a statistically significant improvement for the whole study population in 4 domains of HRQOL: physical functioning, role-physical, social functioning and mental health.…”

Section: Discussionsupporting

confidence: 92%

“…The operation has an impact on overall physical and mental health status and health-related quality of life (HRQOL); the patient's perspective and satisfaction are one of the major indicators of their medical outcome. In recent years, several studies have been undertaken to evaluate the patient's assessment of their general health status following cardiac surgery in order to help clinicians identify which patients are likely to have an improvement or decrement in their overall quality of life following surgery [6][7][8][9][10][11][12][13][14][15][16]. Most of these studies had reported an improvement in general health status, but there were some diversities related to age, different dimensions of health, preoperative functional status, etc.…”

Section: Introductionmentioning

confidence: 99%

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Health related quality of life following cardiac surgery — correlation with EuroSCORE

Čolak¹,

Šegotić²,

Uzun³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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Objective: To explore differences in the health-related quality of life (HRQOL) of patients before and after cardiac surgery, to compare the results with norms of Croatian population and to correlate the results with values of EuroSCORE. Methods: This was a prospective observational study with repeated measurements using the Short Form SF-36 health survey before surgery and 1 year after discharge, to assess changes in quality of life. Results: A total number of 111 patients were included in the study. Seventy-one patients (64%) responded to second measurement of HRQOL 1 year after surgery. The mean age was 61 years, patients were predominantly male and the majority of patients were admitted for coronary artery bypass graft. The prevalence of comorbidity was relatively high. Preoperative mean values of study population were statistically lower than those representing Croatian general population in five out of eight health domains: physical functioning ( p < 0.001), role physical ( p < 0.001), bodily pain ( p < 0.001), social functioning ( p < 0.001) and mental health ( p < 0.001). Data show significant improvement 1 year after discharge in four out of eight health domains: physical functioning ( p = 0.02), role physical ( p < 0.001), social functioning ( p = 0.004) and mental health ( p = 0.03). A subgroup of 30 patients with EuroSCORE !6 shows postdischarge improvements in the majority of scales: role physical ( p < 0.001), bodily pain ( p < 0.001), vitality ( p = 0.03), social functioning ( p = 0.01), role emotional ( p = 0.03) and mental health ( p = 0.002), and group with EuroSCORE <6 shows postdischarge improvement only in one health domain -role physical ( p < 0.001). Conclusions: The health status of patients one year after hospital discharge shows a statistically significant improvement in half of the domains of physical and mental health compared with presurgery status. The high-risk group of patients (EuroSCORE !6) were likely to have significant improvement in greater number of health domains following surgery than the low-and medium-risk group (EuroSCORE <6). #

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Health related quality of life following cardiac surgery — correlation with EuroSCORE

Čolak¹,

Šegotić²,

Uzun³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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“…Our findings are similar to a number of other investigations that report improvements in health-related quality of life after cardiac surgical procedures as measured with a number of different quality-of-life instruments. [25][26][27] Jarvinen and colleagues 25 reported improvements in quality of life and functional capacity among CABG patients 1 year after surgery with the use of the RAND-36 Health Survey. Welke and colleagues 26 reported improvements in physical functioning and mental function 6 months after isolated CABG with the Short Form-36.…”

Section: Discussion Principal Findingsmentioning

confidence: 99%

Effect of Functional Health-Related Quality of Life on Long-Term Survival After Cardiac Surgery

Koch

Lauer

et al. 2007

Circulation

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Background-Health-related quality-of-life instruments have become important measures of early health outcomes after cardiac surgery. The relationship between quality of life after recovery from surgery and subsequent long-term survival has not previously been explored. Our objective was to determine whether the Duke Activity Status Index (DASI) was predictive of subsequent time-related survival after recovery from cardiac surgery. Methods and Results-We examined survival status among 6305 patients who underwent isolated coronary artery bypass grafting with or without valve procedures or isolated valve procedure between May 1995 and June 1998 who had a preoperative baseline and follow-up DASI. The postoperative DASI was administered nominally at 6 and 12 months. Baseline and perioperative variables and postoperative morbid events were prospectively collected concurrently with patient care. The end point was all-cause mortality. The Social Security Death Index was queried for survival status. Cox proportional-hazards analysis was used to study the associations between DASI, a number of traditional risk factors, and survival. Median follow-up was 8.6 years. The "dose-response" relationship between baseline and follow-up DASI and risk of long-term death was established.

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“…This type of surgery has been slightly modified since its initial publications 40 years ago and is associated with a morbidity rate of around 15%, including infection, cerebrovascular accident, bleeding, low-output syndrome, pulmonary complications and atrial fibrillation [13][14][15][16] . Regarding the postoperative follow-up, there have been reports of decreased physical capacity after sternotomy 17,18 and some patients have chest pain for up to one year after the surgery 19,20 . Minimally-invasive coronary artery bypass grafting is a surgery performed through a small incision on the left side, from where the surgeon has comfortable access to the aorta, the left internal thoracic artery and the anterior, lateral and even posterior coronary branches of the left ventricle, thus allowing the full operation without the need for opening the sternum 21 .…”

Section: Introductionmentioning

confidence: 99%

Revascularização do miocárdio minimamente invasiva videoassistida

Milani¹,

Brofman²,

Guimarães

et al. 2012

Arq. Bras. Cardiol.

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Changes in health-related quality of life and functional capacity following coronary artery bypass graft surgery

Abstract: Elderly patients not only have higher mortality and morbidity but also derive less benefit from CABG regarding certain aspects of QOL.

Cited by 87 publications

References 19 publications

Health related quality of life following cardiac surgery — correlation with EuroSCORE

Health related quality of life following cardiac surgery — correlation with EuroSCORE

Effect of Functional Health-Related Quality of Life on Long-Term Survival After Cardiac Surgery

Revascularização do miocárdio minimamente invasiva videoassistida

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