Decline in Health-Related Quality of Life 6 Months After Coronary Artery Bypass Graft Surgery

Abstract

There is evidence that increased symptoms of psychological distress is a strong predictor of no change-deterioration trajectories in HRQoL and that this relationship is influenced by personality trait Type D. We conclude that mediating factors, especially increased anxiety and depression, should be treated adequately in post-CABG clinical routine.

Psychiatric disturbances in patients undergoing open-heart surgery

“…Welke and colleagues [45] found that high body mass index > 35 kg/m 2 , comorbid chronic obstructive pulmonary disease, and peripheral vascular disease were related to poor HRQOL after CABG, but these variables were not studied in our research. The current study supports previous findings [39,46,47] that anxiety and depressive symptoms had an adverse impact on physical and mental HRQOL. Furthermore, the decline in cognitive performance of the patients was also associated with poorer HRQOL scores.…”

“…The variation in the results may be explained by the age difference between studies, the application of different methods for assessing QOL, the use of various techniques for statistical analysis, and the dissimilar criteria for classifying patients as improved, remaining stable, or deteriorated. The study of Middel et al [39] found a decline in HRQOL 6 months after CABG surgery, and they explained their results by the influence of psychiatric disorders and type D personality (negative affectivity and social inhibition) that considered crucial factors for poor outcomes. All these variables were excluded in our study, which could explain our superior results.…”

The quality of life of patients developed delirium after coronary artery bypass grafting is determined by cognitive function after discharge: A cross‐sectional study

“…Postoperative delirium is associated with adverse outcomes including increased complications and mortality in the hospital and after discharge, increased health care costs, and the decline in physiological and cognitive function (Dong et al, ; Krenk & Rasmussen, ; Mu et al, ). Studies have found that POD after CABG was an independent predictor of cognitive impairment after discharge (Khadka et al, ; Naidech et al, ; Rosenthal et al, ), which may have a long‐term effect on QoL, while several other authors indicated that elderly patients who developed POD may not always have a poorer QoL after discharge (Hedeshian, Namour, Dziadik, Stewart, & Campos, ; Le Grande et al, ; Markou, van der Windt, van Swieten, & Noyez, ; Middel et al, ; Najafi, Sheikhvatan, Montazeri, & Sheikhfathollahi, ; Peric et al, ; Sen et al, ). These inconsistencies have been explained by that QoL is the result of the combination of multiple risk factors (Shan, Saxena, McMahon, & Newcomb, ) such as old age, female, duration of intensive care unit (ICU) stay, time after surgery, and the development of POD and cognitive impairment, which are potentially preventable (Crocker et al, ; Phillips‐Bute et al, ).…”

Lipid profile and psychometric traits in patients with psychosomatic disorders and chronic cerebral ischemia

“…Пациенты с повышенным УН склонны к ипохондрической фиксации на неприятных соматических ощущениях, для них характерны тревожность, напряженность, беспокойство, растерянность, раздражительность [10]. Показано, что пациенты с таким типом личности чаще встречаются среди больных с сердечно-сосудистыми заболеваниями и заболеваниями желудочно-кишечного тракта, при этом их психологическое состояние существенно влияет на течение так называемых психосоматических заболеваний [23,24].…”