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

Kim, Sun; Xu, Ning; Huang, Shu-Ting; Cao, Hua; Chen, Qiang

doi:10.1536/ihj.20-102

Cited by 1 publication

(2 citation statements)

References 28 publications

(44 reference statements)

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“…The right subaxillary incision had been widely used in the correction of simple CHD. However, only a few studies had reported the analysis of the postoperative QoL of children of school age during follow-up [ 20 , 21 ]. According to our results, based on the HRQoL scores, children who underwent the right subaxillary approach performed better in terms of emotional and social functioning dimensions than those who underwent median sternotomy.…”

Section: Discussionmentioning

confidence: 99%

“…The right subaxillary approach had concealed incisions and could completely cover the scars when the arms were sagging. In contrast, the children with median incisions had obvious scars and even thoracic deformities (e.g., pectus carinatum and pectus excavatum), which were associated with negative emotions, such as inferiority complex, depression, and impairment in social activities [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Mid-term outcomes of right subaxillary approach versus median sternotomy incision for ventricular septal defect with patent ductus arteriosus

Qiu

Xiao

et al. 2022

BMC Pediatr

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Background This study aimed to evaluate and compare two surgical approaches to repair ventricular septal defect (VSD) with patent ductus arteriosus (PDA) and to explore the patients’ health-related quality of life (HRQoL). Methods We conducted a retrospective study of all patients who had surgical repair of VSD and PDA between 2013 and 2015 using the right subaxillary approach (group A) or the median sternotomy incision (group B). The outcomes of both techniques were compared. Paediatric QoL Inventory 4.0 scale was applied to assess patients’ HRQoL in the 6th postoperative year. Multiple linear regression analysis was performed to explore factors associated with higher HRQoL scores. Results A total of 128 patients were included (group A, n = 70 and group B, n = 58). Patients in group A were older and heavier than patients in group B. In group B, the diameters of VSD and PDA were larger and the pulmonary artery pressures were higher than those in group A (p < 0.001). No mortality occurred on a mean follow-up of 8.3 ± 1.2 years. Patients in group A had higher HRQoL scores than those in group B in terms of emotional and social functioning dimensions. The right subaxillary approach (OR: 3.56; 95% CI 1.65–5.46), higher parents’ education level (OR: 1.62; 95% CI 0.65–2.31), and better family economic status (OR: 1.48; 95% CI 0.79–2.45) were associated with higher HRQoL scores. Conclusions Younger and smaller patients receiving median sternotomy incisions due to large defects and pulmonary hypertension had lower HRQoL scores. The right subaxillary approach, higher parents’ education level, and better family economic status were associated with higher HRQoL scores.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%