Patient-reported outcome measures after mitral valve repair: a comparison between minimally invasive and sternotomy
Autor: | Omar Al-Rawi, Matthew Shaw, Caroline Toolan, Kenneth Palmer, Giordano Perin, Jennifer Whiteley, Paul Modi |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty medicine.medical_treatment Operative Time 030204 cardiovascular system & hematology Physical function Treatment satisfaction Cohort Studies 03 medical and health sciences 0302 clinical medicine Medicine Humans Minimally Invasive Surgical Procedures Patient Reported Outcome Measures Prospective Studies Cardiac Surgical Procedures Aged Mitral valve repair Pain Postoperative Surgical approach Adult Cardiac business.industry Outcome measures Mitral Valve Insufficiency Middle Aged Sternotomy Confidence interval Surgery Treatment Outcome 030228 respiratory system Thoracotomy Patient-reported outcome Female Cardiology and Cardiovascular Medicine business Mitral valve surgery |
Zdroj: | Interact Cardiovasc Thorac Surg |
ISSN: | 1569-9285 |
Popis: | OBJECTIVES To compare patient-reported outcome measures of minimally invasive (MI) to sternotomy (ST) mitral valve repair. METHODS We included all patients undergoing isolated mitral valve surgery via either a right mini-thoracotomy (MI) or ST over a 36-month period. Patients were asked to complete a modified Composite Physical Function questionnaire. Intraoperative and postoperative outcomes, and patient-reported outcome measures were compared between 2 propensity-matched groups (n = 47/group), assessing 3 domains: ‘Recovery Time’, ‘Postoperative Pain’ (at day 2 and 1, 3, 6 and 12 weeks) and ‘Treatment Satisfaction’. Composite scores for each domain were subsequently constructed and multivariable analysis was used to determine whether surgical approach was associated with domain scores. RESULTS The response rate was 79%. There was no mortality in either group. In the matched groups, operative times were longer in the MI group (P CONCLUSIONS MI surgery was associated with faster recovery and less pain; treatment satisfaction and safety profiles were similar. |
Databáze: | OpenAIRE |
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