Predictors of Worsening of Patients' Quality of Life Six Months After Coronary Artery Bypass Surgery

Perić, Vladan; Borzanovic, Milorad; Stolić, Radojica; Jovanovic, Aleksandar; Sovtić, Saša; Dimković, Siniša; Marčetić, Z.

doi:10.1111/j.1540-8191.2008.00667.x

Cited by 31 publications

(17 citation statements)

References 26 publications

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“…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

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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.

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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

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“…10) We have already reported on QOL improvement that patients have 6 months after CABG. 11) This prosperity is also maintained 2 years after CABG, with the fact that in the section of PM there is an additional improvement in QOL. In the first 6 months after surgery, patients are, in spite of significant repair of PM, compared to the preoperative period, spared of major physical effort.…”

Section: Discussionmentioning

confidence: 94%

“…Other studies, however, show that diabetes is a predictor of QOL worsening after CABG. 11,20) Although the influence of diabetes to the appearance of neuropathy can be the cause of minor sensibility for each pain, even for angina although in this case is more important diabetes impact on the progression of coronary artery disease and the re-emergence of anginal pain. In addition, in diabetics with coronary disease, in comparison to non-diabetics, depression after serious cardiovascular events is more frequent.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Quality of Life Improvement after 2 Years of Coronary Artery Bypass Surgery

Perić¹,

Stolić²,

Jovanovic³

et al. 2017

ATCS

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“…This was also found in studies with CABG patients [25], [26], [27], [28], [29], [30] or patients with coronary artery disease [31]. Furthermore, obesity and diabetes mellitus were previously found to be predictors of health status [26], [27], [28], [30], [32]. However, this was not found in studies that measured health status post-PCI.…”

Section: Discussionmentioning

confidence: 71%

“…Regarding CABG patients, several studies determined predictors of health status [25], [26], [27], [28], [29], [30], [32], [38], [39], [40], [41], [42]. Some studies had a follow-up duration of several years [25], [26], [27], [28], [41].…”

Section: Discussionmentioning

confidence: 99%

Predictors of subjective health status 10 years post-PCI

Berge¹,

Dulfer

Utens

et al. 2016

IJC Heart & Vasculature

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BackgroundSubjective health status is an increasingly important parameter to assess the effect of percutaneous coronary intervention (PCI) in clinical practice.Aim of this study was to determine medical and psychosocial predictors of poor subjective health status over a 10 years' post-PCI period.MethodsWe included a series of consecutive PCI patients (n = 573) as part of the RESEARCH registry, a Dutch single-center retrospective cohort study.ResultsThese patients completed the 36-item Short-Form Health Survey (SF-36) at baseline and 10 years post-PCI. We found 6 predictors of poor subjective health status 10 years post-PCI: SF-36 at baseline, age, previous PCI, obesity, acute myocardial infarction as indication for PCI, and diabetes mellitus (arranged from most to least numbers of sub domains).ConclusionsSF-36 scores at baseline, age, and previous PCI were significant predictors of subjective health status 10 years post-PCI. Specifically, the SF-36 score at baseline was an important predictor. Thus assessment of subjective health status at baseline is useful as an indicator to predict long-term subjective health status. Subjective health status becomes better by optimal medical treatment, cardiac rehabilitation and psychosocial support. This is the first study determining predictors of subjective health status 10 years post-PCI.

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Predictors of Worsening of Patients' Quality of Life Six Months After Coronary Artery Bypass Surgery

Abstract: The predictive factors for quality of life worsening six months after CABG are female gender, diabetes mellitus, low ejection fraction, and the presence of postoperative complications.

Cited by 31 publications

References 26 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

Predictors of Quality of Life Improvement after 2 Years of Coronary Artery Bypass Surgery

Predictors of subjective health status 10 years post-PCI

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