Gender Differences in Recovery After Coronary Artery Bypass Graft Surgery

Schulz, Paula; Zimmerman, Lani; Barnason, Susan; Nieveen, J

doi:10.1111/j.0889-7204.2005.03868.x

Cited by 19 publications

(21 citation statements)

References 35 publications

(120 reference statements)

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“…11,20,21,26,27, 39,55,73Y75,79,81 Some patients were surprised by experiencing fatigue and the intensity of fatigue that persisted after their cardiac event, 53,55 with women experiencing fatigue more often than men did. 55,68 Fatigued patients with ACS, PCI, or cardiac surgery had more impaired physical functioning, more limited physical activity, and interference of their usual activities or routines. 27,39,73 Among HF patients, having symptoms of fatigue, breathlessness, or chest pain interfered with their ability to perform their normal social interactions and daily activities.…”

Section: Physical Symptoms Experiencedmentioning

confidence: 99%

“…20,48,50,69 Most subjects who had either CABS or PCI had disability that had worsened or not improved to the same as baseline levels of performing activities of daily living or instrumental activities of living (eg, housework, meal preparation), 54 although at 6 weeks after CABS, most patients who had been employed before surgery had returned to work. 52 Compared with men, women who had either heart surgery or ACS had more impaired ambulation and physical functioning 23,49,68,70 and both PCI and cardiac surgical female patients reported impaired functioning to carry out role responsibilities in the first 6 to 8 weeks after hospitalization. 65 It also took female ACS patients longer than female CABS patients to regain their physical functioning abilities.…”

Section: Physical Functioning Abilitiesmentioning

confidence: 99%

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Patient Recovery and Transitions After Hospitalization for Acute Cardiac Events

Barnason

Zimmerman

Nieveen

et al. 2012

Journal of Cardiovascular Nursing

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Despite increased attention to providing seamless transitions after hospitalization, patients often feel unprepared, lack knowledge, and may be confused by what to expect during recovery at home after a cardiac event. Care transition after hospital discharge could be improved by informing and counseling patients more specifically about expected recovery after a cardiac event. Therefore, an integrative review of research was conducted to evaluate cardiac patients' trajectory of recovery after hospitalization. A total of 61 studies were included in this review. Studies included were those of cardiac patients who had been hospitalized for significant cardiac events and those focused on acute coronary syndrome (n = 18), percutaneous coronary intervention (PCI) (n = 12), cardiac surgery (coronary artery bypass surgery and valve surgery; n = 25), and heart failure (n = 6). Studies included quantitative, mixed-methods, and qualitative designs, with sample sizes ranging from 4 to 2121 participants. Notwithstanding the limitations of this review, findings demonstrated that patients' perceptions of their cardiac event evolved over time from uncertainty, fears, anxiety, and depression, which were often associated with a lack of knowledge of their cardiac condition, to a phase of self-management of their cardiac condition. Furthermore, patterns of commonly occurring symptoms and changes in functioning abilities during recovery after hospitalization were apparent among the different cardiac groups. These findings may be useful to both patients and clinicians to inform them about the recovery trajectory after a cardiac event to improve preparation for the transition from hospital to home.

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Section: Physical Symptoms Experiencedmentioning

confidence: 99%

Section: Physical Functioning Abilitiesmentioning

confidence: 99%

Patient Recovery and Transitions After Hospitalization for Acute Cardiac Events

Barnason

Zimmerman

Nieveen

et al. 2012

Journal of Cardiovascular Nursing

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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: 82%

“…Whether myocardial dysfunction preoperatively interferes with the prognosis in postoperative period [2]; the association of other co-morbidities like diabetes, hypertension with CAD [3][4]; how age at the time of surgery affects the outcome; how quality of life and activity changes after surgery [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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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“…These symptoms usually persist up to three months following discharge and can interfere with both physiological and psychosocial recovery outcomes; with the symptoms typically dissipating over time 1,2,12,13. Patients experiencing more symptoms reported poorer psychosocial functioning than those with fewer symptoms 14…”

Section: Introductionmentioning

confidence: 99%

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

Abbott

Barnason²,

Zimmerman³

2010

Journal of Cardiovascular Nursing

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Although there is extensive literature on symptoms experienced by patients after coronary artery bypass surgery (CABS), there is a paucity of data on symptom clusters and their impact on functional outcomes. The purpose of these descriptive, secondary analyses was to identify and describe cluster subgroups of 226 elderly CABS patients at discharge and to examine the cluster's impact on psychosocial functioning over time (baseline, 6 weeks, and 3 months) using the 36-item Medical Outcome Study Short Form subscales. Cluster analysis revealed a 3-cluster solution with low, low-moderate, and moderate symptom burden clusters. Significant differences were detected for Duke Activity Status Index (F(2,223) = 5.12, P = .007), Barnason Efficacy Expectation Scale (F(2,223) = 9.60, P < .0001), Hospital Anxiety and Depression Scale (F(2,219) = 15.14, P < .0001), and New York Heart Association classification (chi = 17.44, P = .008). Significant differences were noted on all variables between the low and moderate symptom burden clusters with differences between the low-moderate and moderate clusters for only the Barnason Efficacy Expectation Scale and the Hospital Anxiety and Depression Scale. Those in the moderate symptom burden cluster had more symptoms, anxiety, and depression along with lower self-efficacy and physiological functioning than those in the other 2 clusters. There was no interaction or simple main effects for the role-emotional or social subscales as measured by the 36-item Medical Outcome Study Short Form. There was no significant interaction for mental functioning by time and cluster (F(4,641) = .30, P = .88); however, there was a simple main effect for cluster (F(2,641) = 4.11, P = .02). Follow-up analysis indicated significant differences between the low and low-moderate clusters, indicating that those with low symptom burden had significantly better mental health functioning than those with moderate symptom burden. Findings provide a foundation of knowledge on symptom clusters in CABS populations and may be useful to clinicians to identify patients at risk for slowed or delayed recovery and for early intervention.

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Gender Differences in Recovery After Coronary Artery Bypass Graft Surgery

Cited by 19 publications

References 35 publications

Patient Recovery and Transitions After Hospitalization for Acute Cardiac Events

Patient Recovery and Transitions After Hospitalization for Acute Cardiac Events

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

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

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