Predictors for Physical and Mental Health 6 Months After Coronary Artery Bypass Grafting A Cohort Study

Lie, Irene; Arnesen, Harald; Sandvik, Leiv; Hamilton, Glenys A.; Bunch, Eli Haugen

doi:10.1016/j.ejcnurse.2010.02.001

Cited by 19 publications

(27 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In support of these findings, we previously reported that adverse events after heart transplantation are related to HRQOL both early 36 and later 37 after heart transplantation. Similarly, post-operative complications were related to HRQOL early 38, 39 and later 40 after myocardial revascularization. Lastly, the relationship between the pre implant VAS score and change in the VAS score after implant has also been demonstrated in the cardiac surgical literature.…”

Section: Discussionmentioning

confidence: 94%

Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support

Grady

Wissman

Naftel

et al. 2016

The Journal of Heart and Lung Transplantation

View full text Add to dashboard Cite

Background Gaps in the literature exist regarding health-related quality of life (HRQOL) early after left ventricular assist device (LVAD) surgery. The purposes of our study were to describe HRQOL over time, by age and gender, and identify risk factors for poor HRQOL early after LVAD implant. Methods Patients (n=7,353) from INTERMACS received a continuous flow LVAD as a primary implant at 133 U.S. hospitals. Of these, 5,640 patients had pre LVAD HRQOL data, and 3,353 patients had 6 month post LVAD HRQOL data. There were 2,748 patients with data at both time periods. HRQOL was measured using the EQ-5D-3L instrument. Data were collected pre-implant and 3 and 6 months post-operatively. Statistical analyses included chi square, t-tests, Pearson correlation coefficients, and multiple regression. Results Overall HRQOL and dimensions of HRQOL improved from before to 6 months after device implant when examined by age and gender. However, younger patients and women reported significantly more problems regarding all dimensions before implant and significantly more problems regarding pain/discomfort and anxiety/depression at both 3 and 6 months after implant. An increase in overall HRQOL from before to 6 months after implant was related to pre implant INTERMACS level 1. Factors related to a decrease in HRQOL from before to 6 months after implant were listed for heart transplant before surgery, co-morbidities, better preoperative HRQOL, adverse events within 6 months after implant, and bridge to transplant moderately likely and unlikely, and NYHA class 4 at 6 months post LVAD (R2=41%). Conclusions Overall HRQOL and dimensions of HRQOL improve in subgroups of patients from before to 6 months after surgery, although differences in improvement exist. Adverse events are risk factors for decreased HRQOL across time and support the ongoing need to improve device technology with the aim of reducing adverse events.

show abstract

Section: Discussionmentioning

confidence: 94%

Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support

Grady

Wissman

Naftel

et al. 2016

The Journal of Heart and Lung Transplantation

View full text Add to dashboard Cite

show abstract

“…However, RTW after a long-term sick leave may be stressful and emotionally demanding because it can be associated with patients' reduced physical capacities or changes in their work employment, such as reduction in working hours or in job tasks, decrease in self-reported responsibility and involvement [7][8][9]. Several studies have investigated the health-related qua lity of life (HRQL) after cardiac interventions [10][11][12][13]. Most of these studies have found that predictors of HRQL after a heart surgery or coronary angioplasty were primarily psychological and not related to the illness severity [13][14][15][16].…”

Section: Methodsmentioning

confidence: 99%

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Fiabane¹,

Giorgi²,

Candura³

et al. 2014

IJOMEH

View full text Add to dashboard Cite

Objectives: Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR). Material and Methods: The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected. Results: After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction. Conclusions: These findings recommend an early assessment of patients' psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.

show abstract

“…Several studies have identified positive changes in patient’s physical health and mental health after CABG [21,24,26,35-38], although improvement in mental health is generally slower [24]. Previous studies also suggest a significant interplay between patient’s physical health and mental health [21,24-26,39-42]. Female patients often have poorer outcomes from CABG, compared to males [38,43], and younger age is associated with better post-operative HRQoL [22,42].…”

Section: Introductionmentioning

confidence: 99%

Patients’ and partners’ health-related quality of life before and 4 months after coronary artery bypass grafting surgery

et al. 2013

View full text Add to dashboard Cite

BackgroundPatients having coronary artery bypass grafting (CABG) often depend on their partners for assistance before and after surgery. Whilst patients’ physical and mental health usually improves after surgery little is known about the partners’ health-related quality of life (HRQoL) in CABG. If the partners’ physical and emotional health is poor this can influence their caregiving role and ability to support the patient. This study aimed: to increase understanding of patients’ and partners’ HRQoL before and after CABG; to explore whether patients’ and partners’ pre-operative socio-demographics and HRQoL predict their own, and also partners’ HRQoL 4 months after CABG.MethodsThis prospective study recruited 84 dyads (patients 84% males, aged 64.5 years; partners 94% females, aged 61.05 years). Patients’ and partners’ perceived health status was assessed using the Short-Form 12 Health Survey. Patients’ physical limitation, angina symptoms and treatment satisfaction were assessed using the Seattle Angina Questionnaire. Partners’ emotional, physical and social functioning was assessed using the Quality of Life of Cardiac Spouses Questionnaire. Data were analysed using hierarchical multiple (logistic) regressions, repeated measures analysis of variance, paired t test and Chi square.ResultsPatients most likely to have poorer physical health post-operatively were associated with partners who had poorer pre-operative physical health. Partners most likely to have poorer emotional, physical and social functioning post-operatively were associated with patients who had poorer pre-operative mental health. Patients” and partners’ poorer post-operative HRQoL was also explained by their poorer pre-operative HRQoL.ConclusionThe partners’ involvement should be considered as part of patients’ pre-operative assessment. Special attention needs be paid to patients’ pre-operative mental health since it is likely to impact on their post-operative mental health and the partner’s emotional, physical and social functioning.

show abstract

Predictors for Physical and Mental Health 6 Months After Coronary Artery Bypass Grafting A Cohort Study

Cited by 19 publications

References 28 publications

Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support

Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Patients’ and partners’ health-related quality of life before and 4 months after coronary artery bypass grafting surgery

Contact Info

Product

Resources

About