Determinants of non-recovery in physical health-related quality of life one year after cardiac surgery: a prospective single Centre observational study

Autor: Tessel Vossenberg, Lilian Jekel, Olga Bondarenko, Goris Bol Raap, Jo Haenen, Christiaan Boerma, Hilda Rijnhart-de Jong
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Multivariate analysis
Time Factors
Health-related quality of life
Health Status
030204 cardiovascular system & hematology
0302 clinical medicine
Postoperative Complications
Quality of life
Risk Factors
Surveys and Questionnaires
Medicine
Postoperative Period
Prospective Studies
Coronary Artery Bypass
CABG
General Medicine
Cardiac surgery
Middle Aged
Physical Functional Performance
Cardiothoracic surgery
Preoperative Period
Female
Cardiology and Cardiovascular Medicine
Research Article
Pulmonary and Respiratory Medicine
medicine.medical_specialty
SF-36
lcsh:Surgery
Infections
lcsh:RD78.3-87.3
Diabetes Complications
03 medical and health sciences
Percutaneous Coronary Intervention
Sex Factors
Internal medicine
Humans
Cardiac Surgical Procedures
Aged
business.industry
Predictors
Perioperative
lcsh:RD1-811
030228 respiratory system
lcsh:Anesthesiology
Conventional PCI
Quality of Life
Surgery
Observational study
business
Zdroj: Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-9 (2020)
ISSN: 1749-8090
Popis: Background Recent studies show that substantial percentage of patients experienced worsening of health related quality of life (HRQoL) 1 year after cardiac surgery. The aim of this study is to identify risk factors that interfere with improvement of HRQoL. Methods From December 2015 till July 2017 a prospective single centre observational study was carried out in 1920 patients participated who underwent non-salvage cardiac surgery. All patients were requested to complete a Short Form 36 (SF-36) questionnaire before and 1 year after surgery. Primary aim of the study was to identify risk factors for non-recovery in the physical domain of the SF-36 in all cardiac surgery patients. Secondary aim was to identify identical risk factors in patients with isolated coronary artery bypass grafting. Results After cardiac surgery, the questionnaires for physical and mental health were completed by respectively 803 and 807 patients. Median age was 69[62–75] years, and 77% was male. In comparison to the preoperative status, 176 patients (21.9%) did not display an improvement in the SF-36 physical domain score 1 year after cardiac surgery. In a multivariate analysis independent risk factors for non-recovery in the SF-36 physical domain were baseline SF36 physical domain score (OR 0.954[0.942–0.965], P P P Conclusions Twenty two percent of all cardiac surgery patients did not show an improvement in the physical domain score of the HRQoL between the preoperative period and 1 year after surgery. Independent risk factors for non-recovery after cardiac surgery were baseline SF-36 physical domain score, diabetes, female sex, any postoperative infection and the need for PCI in the first year. Further research is needed to tailor the patient selection procedure prior to surgery and potentially modify risk factors in the perioperative process. Trial registration Due to type of study not applicable. https://www.ccmo.nl/metcs/erkende-metcs/regionale-toetsingscommissie-patientgebonden-onderzoek.
Databáze: OpenAIRE
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