Health-related quality of life in adults undergoing transthoracic device closure of ventricular septal defect

Abstract

Objective: To evaluate the health-related quality of life (HRQoL) of adult patients who underwent transthoracic device closure of ventricular septal defect (VSD). Methods: During the perioperative and postoperative period, a standard scale involving eight dimensions was used to analyze the HRQoL of 85 adult patients who underwent thoracic device closure of VSD and 80 healthy adults located locally were randomly selected as the control group in our center. Results: A total of 80 patients' and 80 healthy adults' questionnaires were received with complete feedback. Out of all of the items that were investigated, postoperative patients experienced better feelings in some dimensions than the control group. Postoperative feedback was also better than preoperative feedback in some dimensions. In the comparison of the subgroups of these patients, the scores of the elderly were lower than those of the young in most dimensions. Males had more positive feedback in two aspects ("role-physical" (p = 0.01) and "vitality" (p = 0.003)), whereas unmarried people seemed to have poor emotional responses ("role-emotional" (p < 0.01) and "vitality" (p = 0.023)). There was no significant difference in any dimensions except "social functioning" (p < 0.01) between people with different levels of education.Conclusions: Most of the adult patients who underwent thoracic closure of VSD felt that they could lead a normal life. They seemed to have reasonably normal psychosocial responses compared to healthy controls. Many patients even though their HRQoL was better than healthy individuals.

The midterm effect of exercise capacity and quality of life in adult patients who underwent hybrid transthoracic device closure of ventricular septal defects

“…At present, most of the studies on the QoL of VSD have focused on children and adolescents [18,19]. In our previous study, we found that the short-term QoL of adult patients was improved after undergoing transthoracic device closure of VSDs [20]. In this study, the corresponding mid-term QoL of adult patients also showed an improvement trend, and such improvement was not transient.…”

Comparison of Health-Related Quality of Life in Adults Undergoing Transthoracic and Transcatheter Device Closure for Ventricular Septal Defects

“…However, there has been no cross-sectional comparison between the two treatments, so research on the different effects of these two treatments on the postoperative HRQoL of adult patients is still needed. [18][19][20][21] In this study, we found that there was no significant difference in SF-36 scores between groups A and B except for the two dimensions of vitality and mental health. The reason might be that the patients subjectively felt that the transcatheter procedure had less impact on the body than the transthoracic procedure and thus had more positive feedback in the psychological domain.…”

Effect of remifentanil-based fast-track anesthesia on postoperative analgesia and sedation in adult patients undergoing transthoracic device closure of ventricular septal defect

“…The location and the surrounding structure of the VSD are essential factors in the procedure success. Many kinds of literature have shown that the transthoracic device closure of VSD not only virtually ensures the therapeutic effect, but also reduces the length of the incision, reduces the postoperative pain, and shortens the length of hospital stay [3,4].…”

“…Percutaneous device closure has the advantage of no incision and fast recovery but has the disadvantage of Xray exposure. In recent years, our center has tried to treat the simple VSD using transthoracic device closure and has achieved good results [2][3][4]. In order to meet the needs of short anesthesia time and early tracheal extubation after transthoracic device closure of VSDs, fast-track anesthesia was adopted in our cardiac center.…”