Health-related quality of life five years after coronary artery bypass graft surgery

Vincelj, Josip; Bitar, Lela; Jendričko, Tihana; Udovičić, Mario; Petrovečki, Mladen

doi:10.1016/j.ijcard.2014.12.106

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…The results of the present research disclosed that the patients' QoL was significantly different before and after the intervention via CABG and PCI, and significantly increased after the intervention. Vincelj et al also reported an improvement in health-related QoL five years after CABG (15). Moreover, some studies (e.g., Rumsfeld, Moattari, Stafford, Borkon, Favarato, Zhang, and Cohen) disclosed that QoL was higher after CABG compared to PCI, which is corresponding to the results of the current research (11-13, 16, 17, 19, 20).…”

Section: Discussionsupporting

confidence: 86%

Examining the Health-Related Quality of Life after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention in Iran via SF-36 and SAQ

Fakhrzad¹,

Goudarzi²,

Barouni³

et al. 2015

Int Cardiovasc Res J

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A B S T R A C TBackground: Cardiovascular Disease (CVD) is one of the major concerns all around the world. It is caused by mass of atherosclerotic plaques in the walls of coronary arteries, which ends in narrowing of veins, heart failure, angina, and Myocardial Infarction (MI). The growing need for therapeutic interventions in CVD patients illustrates the importance of paying special attention to these patients' Quality of Life (QoL) and the vital interventions for their treatment. Objectives: This research aimed to evaluate patients' QoL after Coronary Artery Bypass Grafting (CABG) and Percutaneous Coronary Intervention (PCI) using Seattle Angina Questionnaire (SAQ) and Short Form-36 (SF-36). Patients and Methods:This six-month cohort study aimed to evaluate the QoL among CAD patients in Shiraz, Iran via SAQ and SF-36. The study population included all the patients who had undergone CABG and PCI in the hospitals of Shiraz University of Medical Sciences from May to December 2014. A total of 200 patients were selected for each intervention. After gaining the patients' consent to take part in the research, 200 patients who applied for CABG and 198 patients who applied for PCI agreed to participate in the study. Preintervention data were gathered through a demographic data form and two valid and reliable questionnaires for QoL. The post-intervention data were also gathered six months after the treatment using the same questionnaires. Then, the data were entered in to the SPSS statistical software, version 20 and were analyzed using paired sample t-test, Kruskal-Wallis, Mann-Whitney U, ANOVA, and Spearman and Pearson correlation coefficient. Results: Intervention was proved to be the most effective factor in changing the patients' QoL (P = 0.04, mean ± SD = 4.65 ± 22.02 for PCI and 8.25 ± 22.97 for CABG using SF36; P = 0.002, mean ± SD = 10.54 ± 17.14 for PCI and 15.47 ± 16.81 for CABG using SAQ). Moreover, both intervention types boosted the patients' QoL (P < 0.001). However, CABG appeared to be more successful in boosting the QoL compared to PCI. Additionally, although CABG did notexert any significant effects on the score of physical limitation (P = 0.74), it had impacts on all the features of SAQ. Conclusions: The findings revealed that although both CABG and PCI boosted the QoL, CABG was more effective in changing this factor.

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Section: Discussionsupporting

confidence: 86%

Examining the Health-Related Quality of Life after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention in Iran via SF-36 and SAQ

Fakhrzad¹,

Goudarzi²,

Barouni³

et al. 2015

Int Cardiovasc Res J

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“…At 5 years after surgery, the mean PCS score observed in our study population was higher than that reported in a population of 140 patients from Poland undergoing CABG, who had a mean PCS of 52.12 at 5 years, compared to 62.1 ± 22.2 in our study [28]. Conversely, the mean MCS at 5 years observed here was the same as in the Polish patients, at 63 in our study, compared to an average of 63.37 in the study by Vincelj et al [28]. In our study, unmeasured factors may also have contributed to this improvement, such as rehabilitation after the operation, or other supportive care provided in the context of the surgery.…”

Section: Discussioncontrasting

confidence: 85%

“…This is line with the Polish study of health-related QoL in 140 patients undergoing CABG surgery, who were found to have higher MCS at 5 years than PCS. These authors concluded that physical limitations persist after CABG that affect physical functioning, but do not affect emotional and mental functioning as much [28]. The discrepancy in the trajectory of MCS and PCS may also be due to natural aging, which may affect physical and mental capacities differently [32, 33].…”

Section: Discussionmentioning

confidence: 99%

Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study

Perrotti

Ecarnot

Monaco

et al. 2019

Health Qual Life Outcomes

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Background Quality of life (QoL) is a multifactorial concept that assesses physical and mental health. We prospectively studied the quality of life of patients undergoing coronary artery bypass graft (CABG) surgery using the Short-Form 36-item questionnaire (SF-36) up to 10 years after surgery. Methods Between January 2000 and December 2002, all patients undergoing elective isolated CABG in the cardiac & thoracic surgery department of a large university hospital in Eastern France underwent initial QoL evaluation with the SF-36. The same questionnaire was mailed to every patient annually (± 2 weeks around the date of surgery) up to 10 years after their operation. We recorded socio-demographic and clinical variables at inclusion. Predictors of impaired QoL at 10 years were identified by logistic regression. Results A total of 272 patients (213 men, 59 women) were enrolled; mean age at inclusion was 65 ± 10 years. At 10 years post-surgery, 81 patients had died (29.7%). The physical component summary (PCS) score was significantly higher at 5 years after surgery than at baseline ( p < 0.01), and significantly lower at 10 years than at 5 years (p < 0.01), although there remained a significant difference between 10-year PCS and baseline score ( p = 0.004). The mental component summary (MCS) score was significantly higher at 5 years than at the time of surgery ( p < 0.001), and remained significantly higher compared to baseline at 10 years after surgery ( p = 0.010). By multivariate analysis, diabetes and dypsnea were both associated with worse PCS at 10 years, while lower age was associated with better 10-year PCS. Only diabetes was associated with impaired MCS at 10 years. Conclusions Cardiac surgery appears to durably and positively affect both physical and mental components of quality of life. Electronic supplementary material The online version of this article (10.1186/s12955-019-1160-7) contains supplementary material, which is available to authorized users.

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“…Dear Editor, I am contacting you in the name of the group of authors who published "Health-related quality of life five years after coronary artery bypass graft surgery" in the International Journal of Cardiology [1]. We read the article "Quality of life 10 years after cardiac surgery in adults: a longterm follow-up study" by Perrotti A. et al, published in Health and Quality of Life Outcomes [2].…”

mentioning

confidence: 99%

“…In the following sentence, Perrotti et al also wrote that the patients in reference number 28 were from Poland. However, reference number 28 is actually our study [1] and we would like to correct the record and indicate that the 140 patients were Croatian and recruited from Dubrava University Hospital, Zagreb.…”

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confidence: 99%

Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study

Vincelj

Bitar

2020

Health Qual Life Outcomes

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Health-related quality of life five years after coronary artery bypass graft surgery

Cited by 7 publications

References 9 publications

Examining the Health-Related Quality of Life after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention in Iran via SF-36 and SAQ

Examining the Health-Related Quality of Life after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention in Iran via SF-36 and SAQ

Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study

Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study

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