Health-related quality of life among patients with symptomatic carotid disease

Abstract

Patients with symptomatic carotid disease had poorer HRQoL, especially its mental components, than the general population. The severity of the disease was significantly associated only with the SF-36 role-physical subscale. HRQoL in patients with symptomatic carotid disease was poorer in women than in men, and was not affected by age and other demographic and clinical characteristics of patients.

Health-Related Quality of Life Among Patients with Severe Carotid Artery Stenosis / Ar Veselību Saistītās Dzīves Kvalitātes Novērtējums Pacientiem ar Nozīmīgu Miega Artērijas Stenozi

“…The difference may be explained by differences in patient groups, as patients in the SAPPHIRE trial had greater burden of comorbidity. In another smaller single centre study, SF-36 scores for physical functioning, role-physical, bodily pain, general health, vitality were higher than in our study, but role-emotional and mental health scores were lower (Vlajinac et al, 2013). One of the reasons for these differences might be the difference in disease severity of subjects and the number of included patients in the study.…”

“…Although there were no statistically significant difference in mean SF-36v2 score for women and men in our study, a slight difference has been observed in other studies (Sturm, 2004;Almborg, 2009) and in general populations (Hopman et al, 2004;Vlajinac et al, 2013). This might be because women experience more mental impairment, depression and fatigue after stroke, which is related to HRQoL (Naess et al, 2006).…”

“…Another reason could be the difference in length of time between the onset of disease and measurement of HRQoL. Improvement in HRQoL with increasing post-stroke time duration was reported in several studies (Kong and Yang, 2006;Patel et al, 2006, Vlajinac et al, 2013. There is a possibility that the SF-36 subscale scores are dependent on time (Naess et al, 2006).…”

Health-related quality of life is poor but does not vary with cardiovascular disease burden among patients operated for severe atherosclerotic disease

“…A British study [21] with 13% asymptomatic patients (equal to the AtheroExpress cohort) reports RE that is 30 points higher than AtheroExpress patients while RP is 20 points lower. The Serbian cohort of Vlajinac et al [22] with 35% stroke patients reported an excellent PF (71.7) at baseline but the same pattern exists within the role limitation subdomains: lower PF and higher RE than Athero-Express patients (−15 and +15 points respectively). All cohorts, including the AtheroExpress cohort, have a mean age of around 70.…”

Stenosis in Noncoronary Areas and Life Quality in Ischemic Heart Disease

“…Развитию послеоперацион-ной когнитивной дисфункции у больных после КШ могут способствовать и бессимптомные стенозы каро-тидных артерий [13]. Также в последнее время было показано, что у больных со стенозами каротидных арте-рий КЖ было ниже, чем в общей популяции, что отме-чено по шкалам физического состояния (RP), социаль-ного функционирования (SF), эмоционального состоя-ния (RE) и самооценке психического здоровья (MH) опросника SF-36 [14].…”