The coronary artery bypass experience: gender differences

Keresztes, Patricia; Merritt, Sharon L.; Holm, Karyn; Penckofer, Susan; Patel, Minu

doi:10.1016/s0147-9563(03)00101-8

Cited by 44 publications

(64 citation statements)

References 33 publications

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“…Our findings are consistent with other studies 27,29 which show similar improvements in QoL in both genders after CABG, whereas somer studies 16,18,20,22 have found a poorer recovery in terms of QoL in women. The nonsignificance of gender difference in the present study may be due to the small sample size.…”

Section: Qol Variations With Gendersupporting

confidence: 93%

“…13 This study revealed that the QoL was higher in both men and women after CABG, which is supported by published literature. [16][17][18][19][20][21][22][23][24][25][26][27][28][29] It was interesting to note that higher scores were seen in all domains of QoL in the post-CABG group, except the socio-economic domain. These differences may be attributed to multiple factors, eg.…”

Section: Discussion Pre and Post-operative Qolmentioning

confidence: 99%

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Quality of life before and after coronary artery bypass grafting: findings among pre-operative and post-operative patients at the National Hospital of Sri Lanka

Atapattu

Warnasooriya

2017

J of Cey Coll of Phy

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Section: Qol Variations With Gendersupporting

confidence: 93%

Section: Discussion Pre and Post-operative Qolmentioning

confidence: 99%

Quality of life before and after coronary artery bypass grafting: findings among pre-operative and post-operative patients at the National Hospital of Sri Lanka

Atapattu

Warnasooriya

2017

J of Cey Coll of Phy

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“…A similar pattern was evident in a cohort of 184 CABGS patients, with early anxiety and depression resolving for most patients in the first two months after CABGS [7]. Many earlier studies also demonstrate improved anxiety and depression over time [8][9][10].…”

supporting

confidence: 63%

“…The Profile of Mood States (POMS) [11] measures these mood reactions and has been used in just a few studies with cardiac patients. For example, in a sample of 80 CABGS European Journal of Cardiovascular Nursing 9 (2010) 188 -194 www.elsevier.com/locate/ejcnurse patients, Keresztes et al demonstrated significant improvements in anger, fatigue, vigour, and confusion, as well as anxiety and depression [10]. Two other studies demonstrated overall improvement in mood states using total, rather than subscale, POMS scores [12,13].…”

mentioning

confidence: 99%

Changes in Mood States After Coronary Artery Bypass Graft Surgery

Elliott

Murphy

Oster

et al. 2010

European Journal of Cardiovascular Nursing

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Few studies have investigated the change in mood states, such as anger, fatigue and confusion, after coronary artery bypass graft surgery (CABGS). The aim of this study was to describe the progression of these mood states over time and to determine the factors associated with these trajectories. The Profile of Mood States (POMS) was administered to 182 CABGS patients prior to surgery and at two and six months post-operatively. Socio-demographic and medical data were collected before surgery. Growth curve modelling was used to describe the POMS subscale trajectories. Four POMS subscales (tension-anxiety, fatigue-inertia, confusion-bewilderment, and vigour-activity) showed rapid improvement over the first two months after CABGS followed by a lesser improvement. There was no significant change over time for the depression-dejection and anger-hostility subscales. Being younger, male, having a manual occupation, and smoking were factors associated with poorer pre-operative mood states. Those at risk of persistent mood disturbance after CABGS were younger, unpartnered, female and those with diabetes. These patients can be identified prior to hospital admission.

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“…Changes in health related quality-of-life scale scores indicate as much benefit for women as for men, although less favourable operative outcomes have been reported for women than for men by other investigators [24][25][26].…”

Section: Discussionmentioning

confidence: 80%

Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

Kumar¹,

Hote²,

Sharma³

et al. 2017

IJCTS

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Abstract:This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient's general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1 st July 2015 -31 st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having preop diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients' detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions: Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women's health-related quality-of-life scale scores remained less favourable than men's through 1 year after surgery.

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The coronary artery bypass experience: gender differences

Cited by 44 publications

References 33 publications

Quality of life before and after coronary artery bypass grafting: findings among pre-operative and post-operative patients at the National Hospital of Sri Lanka

Quality of life before and after coronary artery bypass grafting: findings among pre-operative and post-operative patients at the National Hospital of Sri Lanka

Changes in Mood States After Coronary Artery Bypass Graft Surgery

Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

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