Physical and mental recovery after conventional aortic valve surgery

Petersen, Johannes; Vettorazzi, Eik; Winter, Lena; Schmied, Wolfram; Kindermann, Ingrid; Schäfers, Hans‐Joachim

doi:10.1016/j.jtcvs.2016.07.072

Cited by 19 publications

(27 citation statements)

References 31 publications

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“…This study will provide one of the highest density of postoperative PROM data in existing cardiac surgery literature 3 , and it will characterize the variability in individual recovery processes with a high temporal resolution. This study will be important in closing knowledge gaps around patient-level variations in trajectories because prior studies have mostly focused on changes in PROM scores at a limited number of time points 3 or reporting group-level aggregate of longitudinal recovery data 7,22 . Because recovery is an individual, variable, and time-dependent process, we designed our data collection and analytical approach to capture such features important to recovery.…”

Section: Discussionmentioning

confidence: 99%

Protocol for Project Recovery: Cardiac Surgery - Leveraging Digital Platform for Efficient Collection of Longitudinal Patient-Reported Outcome Data Towards Improving Postoperative Recovery

Mori

Brooks

Spatz

et al. 2020

Preprint

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Introduction Improving postoperative patient recovery after cardiac surgery is a priority, but our current understanding of individual variations in recovery and factors associated with poor recovery is limited. We are using a health-information exchange platform to collect patient-reported outcome measures (PROMs) and wearable device data to phenotype recovery patterns in the 30-day period after cardiac surgery hospital discharge, to identify factors associated with these phenotypes and to investigate phenotype associations with clinical outcomes. Methods and analysis We designed a prospective cohort study to enroll 200 patients undergoing valve, coronary artery bypass graft, or aortic surgery at a tertiary center in the U.S. We are enrolling patients postoperatively after the intensive care unit (ICU) discharge, and delivering electronic surveys directly to patients every 3 days for 30 days after hospital discharge. We will conduct medical record reviews to collect patient demographics, comorbidity, operative details and hospital course using the Society of Thoracic Surgeons (STS) data definitions. We will use phone interview and medical record review data for adjudication of survival, readmission, and complications. We will apply group-based trajectory modeling to the time-series PROM and device data to classify patients into distinct categories of recovery trajectories. We will evaluate whether certain recovery pattern predicts death or hospital readmissions, as well as whether clinical factors predict a patient having poor recovery trajectories. We will evaluate whether early recovery patterns predict the overall trajectory at the patient-level. Ethics and dissemination The Yale Institutional Review Board approved this study. Following the description of the study procedure, we obtain written informed consent from all study participants. The consent form states that all personal information, survey response, and any medical records are confidential, will not be shared, and are stored in an encrypted database.

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Section: Discussionmentioning

confidence: 99%

Protocol for Project Recovery: Cardiac Surgery - Leveraging Digital Platform for Efficient Collection of Longitudinal Patient-Reported Outcome Data Towards Improving Postoperative Recovery

Mori

Brooks

Spatz

et al. 2020

Preprint

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“…Quanto às doenças associadas apresentadas pelos pacientes submetidos à correção cirúrgica de valvopatias, a HAS foi a mais frequente (72,4%), seguida por sobrepeso/obesidade (67,2%) e dislipidemia (41,3%). Em outros estudos presentes na literatura, a HAS também foi a doença associada mais frequentemente encontrada, variando entre 32,1% e 85% (CALÇA et al, 2019;FLORENTINO et al, 2018;FUKUNAGA;SAKATA;KOYMA, 2018;GUEDENEY et al, 2019;KWEDAR et al, 2017;LIN et al, 2019;RODRIGUES et al, 2020;MARTINS, 2016;AUENSEN et al, 2017;HUSSAIN et al, 2018;PETERSEN et al, 2016;CETINKAYA et al, 2019).…”

Section: Discussionunclassified

“…Outros autores identificaram como segunda/terceira doença associada mais frequente o diabetes mellitus, com variação de 14% a 30,9% (CALÇA et al, 2019;FLORENTINO et al, 2018;FUKUNAGA;SAKATA;KOYMA, 2018;GUEDENEY et al, 2019;KWEDAR et al, 2017;PETERSEN et al, 2016), diferentemente do encontrado no nosso estudo, no qual o diabetes mellitus foi a quinta mais frequente, com 13,3%.…”

Section: Discussionunclassified

“…Na literatura, a porcentagem encontrada para tabagismo pregresso em pacientes valvopatas variou de 17,1% a 62% (YAFTIAN et al, 2020;SANTOS et al, 2018;RODRIGUES et al, 2020;OTERHALS et al, 2017). Em relação ao tabagismo ativo, relatado por 10,3% dos pacientes, a porcentagem encontrada em outros estudos variou de 8% a 25% (OTERHALS et al, 2017;PETERSEN et al, 2016;LIN et al, 2019;RODRIGUES et al, 2020).…”

Section: Discussionunclassified

“…Considerando que a presença dos sintomas de AC por tempo prolongado pode acarretar complicações tanto para recuperação física, quanto para a reabilitação psicossocial (PETERSEN et al, 2016;BOTZET et al, 2018;HOYER et al, 2008;AICHER et al, 2011;RYMASZEWSKA;KIEJNA;HADRYS, 2003), acreditamos que a identificação precoce dos sintomas de AC se torna importante, não só pelo aumento da procura por atendimento médico, o que pode gerar um gasto elevado para sistema de saúde, mas também pelo fato de que pacientes que apresentaram sintomas de AC possuem maior risco para eventos adversos cardíacos graves (HOHLS et al, 2020;HOYER et al, 2008;TREMBLAY et al, 2018;FENG et al, 2016;VAN BEEK et al, 2016;MARKER;CARMIN;OWNBY, 2008).…”

Section: Contribuições Do Estudo Para a Prática Clínicaunclassified

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Ansiedade cardíaca no perioperatório de cirurgias de revascularização do miocárdio e de correção de valvopatias

Kazitani¹

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Aos meu pais, Marco e Lia, e minha irmã, Jaqueline, por estarem ao meu lado durante essa jornada, me apoiando, incentivando e motivando durante todo o processo de desenvolvimento deste projeto.Ao meu noivo, Vitor, por acreditar em mim e por todo companheirismo durante esse momento de minha vida.Aos meu sogros Ivone e Sérgio, e ao Biscoito, por fazerem parte de minha vida e me proporcionarem momentos de alegria e felicidade.À minha amiga Elisa, pelos cafés, conversas e colaboração durante todo esse período.À minha colega Letícia, por sua ajuda e responsabilidade durante minha coleta de dados.Aos funcionários do 9 ⁰ andar, Ulisses, Márcia e Patrícia, por tornarem meus dias de coleta de dados mais alegres e felizes, me ajudando e motivando sempre. À professora Dr a Rosana e ao professor Dr. Alfredo pela atenção, participação e contribuição ao longo deste projeto. À minha orientadora professora Dr a Carina, por todo incentivo e apoio desde o início da idealização deste projeto até sua finalização.À Coordenação de Aperfeiçoamento de Pessoal de Nível Superior -Brasil (CAPES), pela bolsa concedida durante o desenvolvimento do projeto. E a todos os pacientes que aceitaram participar e doar um tempo de suas vidas, mesmo que muitas vezes estivessem cansados ou chateados, para que essa pesquisa pudesse ser realizada. RESUMO KAZITANI, B. S. Ansiedade cardíaca no perioperatório de cirurgias de revascularização do miocárdio e de correção de valvopatias. 2020. 87 f. Dissertação (Mestrado).

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What to expect after open heart valve surgery? Changes in health-related quality of life

et al. 2019

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To i) describe changes in health-related quality of life (HRQoL) preoperatively, at discharge, and four weeks after discharge following open heart surgery; ii) compare the performance of the EuroQol Questionnaire (EQ-5D 5L) and the Kansas City Cardiomyopathy Questionnaire (KCCQ) against an anchor-based approach and to iii) investigate the association between HRQoL and 180-day readmission.Methods: A prospective, consecutive cohort (single-center study) of 291 patients completed the EQ-5D 5L and KCCQ pre-operatively, at discharge and four weeks post-discharge. Changes in HRQoL over time were evaluated, and the performance of the instruments was investigated. The association between HRQoL and readmission were investigated with Cox Proportional Hazard models.Results: Scores of the EQ-5D Index and VAS decreased significantly from the preoperative assessment to discharge and improved from discharge to four weeks after. The KCCQ-scores significantly improved from baseline to four weeks after. Minimal clinically important improvements from before surgery to four weeks after were seen amongst 24% (EQ-5D Index), 45% (EQ-5D VAS) and 57% (KCCQ). More than one-third experienced worse HRQoL one month after discharge. Area under the curve (AUC) (performance of the instruments) demonstrated; EQ-5D Index AUC 0.622 (95% CI 0.540-0.704), VAS AUC 0.674 (95% CI 0.598-0.750) and KCCQ AUC 0.722 (95% CI 0.65-0.792). None of the HRQoL measurements were associated with 180-day readmission. Conclusions:This study revealed that HRQoL measured with the EQ-5D is significantly worse at discharge compared to before surgery, but scores increases within the first month measured with the

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Physical and mental recovery after conventional aortic valve surgery

Abstract: After conventional aortic valve surgery, the most pronounced recovery was seen in the first 6 weeks postoperatively. Physical quality of life and N-terminal pro-B-type natriuretic peptide required a prolonged time for a complete recovery.

Cited by 19 publications

References 31 publications

Protocol for Project Recovery: Cardiac Surgery - Leveraging Digital Platform for Efficient Collection of Longitudinal Patient-Reported Outcome Data Towards Improving Postoperative Recovery

Protocol for Project Recovery: Cardiac Surgery - Leveraging Digital Platform for Efficient Collection of Longitudinal Patient-Reported Outcome Data Towards Improving Postoperative Recovery

Ansiedade cardíaca no perioperatório de cirurgias de revascularização do miocárdio e de correção de valvopatias

What to expect after open heart valve surgery? Changes in health-related quality of life

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