Comparison of the Health Related Quality of Life of Patients Following Mitral Valve Surgical Procedures in the 6-Months Follow-up: A Prospective Study

Abstract

Purpose: The aim of the present study is to evaluate the health-related quality of life of the patients who underwent mitral valve repair (MvRp) and mitral valve replacement (MVR). Methods: Within the scope of this prospective study design, 56 patients who had mitral valve operation between the years of 2011-2012 were enrolled in the study. 24 (42.8%) of these patients had MVR while 32 (57.1%) of them had MvRp. The health-related quality of life was evaluated according to the Turkey norms of Short Form 36 Quality-Of-Life Measures (SF-36), which were filled in by the patients before and 6 months after the operation. Moreover, preoperative risk factors affecting the quality of life (age, gender, functional capacity, rhythm, hypertension, diabetes, applied surgical method and echocardiographic results) were investigated for all the patients (n = 56) by using independent sample t test analysis. Results: When the pre and postoperative changes were compared between the two groups, it was found out that there were no significant difference between the groups in terms of restraints on physical role functioning (PR), and the social role functioning values (SF) (respectively; p = 0.097, p = 0.105). However, in the comparison of pre-/postoperative changes between the groups, the changes in physical functioning (PF), bodily pain (BP), general health (GH), vitality (VT) and restraints on emotional role functioning (RE) and mental health (MH) values were found out to be significantly superior in the MvRp group than in the MVR group (respectively; p <0.01, p <0.05, p <0.01, p <0.01, p <0.05 and p <0.01). It was also confirmed that female gender, atrial fibrillation (AFR), and MVR method negatively affected the physical and mental components (respectively; p = 0.033, p = 0.003, p = 0.015). Conclusion: Results of the SF-36 quality of life measures show that quality of life may be better in patients that have had MvRp. It should be considered that the planned surgical treatment method can affect the patient's quality of life, and this effect can indicate the success of the surgical treatment.

Health-related quality of life of patients after mechanical valve replacement surgery: An integrative review

“…Comparing early HRQoL by study location and valve position, recipients of aortic valves in the UK 30 had significant improvement in seven of eight health domains ( p <0.05). In contrast, the mitral-valve recipients in the (UK 30 and Turkey 36 had significant improvement in only five of eight domains. The mitral-valve sample in the UK had no significant improvement in general or mental-health, whereas for the Turkish mitral-valve sample, the opposite was true.…”

“…Three studies, all on isolated valve procedures, measured and compared preoperative HRQoL to early postoperative HRQoL. 30,31,36 Whilst all HRQoL domain mean-scores demonstrated positive change (Table 3), this reached statistical significance ( p < 0.05) consistently across all studies in four of the eight domains (physical-functioning, role-physical, vitality and social-functioning). Goldsmith et al 31 and Ay et al 36 also identified significant improvement in the domains of general-health and mental-health with the Goldsmith et al 30,31 studies additionally finding significant improvement in the role-emotional domain.…”

“…Data for one 33 of the eight studies were collected from three sites; the remainder were single-site studies. The research designs varied and included prospective observational, 30–32,36 cross-sectional, 33–35 descriptive 29 and longitudinal 32 studies. Study timing was categorised as ‘preoperative’, ‘early postoperative’ (up to six months postoperatively) and ‘late postoperative’ (greater than six months postoperatively).…”

“…Sample sizes varied from n =9 29 to n =556. 32 Seven 30–36 of the eight studies had comparable data (i.e. all reporting mean values) and the mean age of these participants ranged from 40 34 to 66 years.…”

Symptoms, Hope, Self-Management Behaviors, and Quality of Life Among Chinese Preoperative Patient With Symptomatic Valvular Heart Diseases

“…Replacement or repair of the damaged valves, which accounts for 28.2% of all cardiac surgery in China (He, Zhu, Hou, Long, & Zhao, 2017), usually improves patients' heart function, relieves symptoms, and improves quality of life (QOL; Astin et al, 2017;Ay et al, 2013). However, replacement or repair of the damaged valves carries substantial risks, with a mortality rate from 3.1% to 4.5% postoperatively among patients with VHD (Han, Yu, Zhu, Huang, & Sun, 2017;Yan, Wang, Han, Lu, & Xu, 2013).…”