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Quality of life improves after renal artery stenting.
- Source :
-
Biological research for nursing [Biol Res Nurs] 2006 Oct; Vol. 8 (2), pp. 129-37. - Publication Year :
- 2006
-
Abstract
- Although treatment of renal artery stenosis (RAS) with stents has been shown to improve blood pressure (BP) and renal function in some patients, little is known about the effect on health-related quality of life. A composite quality of life survey was administered in a cross-sectional cohort fashion to 149 patients presenting with angiographically and hemodynamically confirmed RAS either before (baseline, n = 37) or after (follow-up, n = 112) stent revascularization. BP, renal function, and antihypertensive medication use were also assessed. Systolic BP was lower in the revascularized patients (166 +/- 23 vs. 153 +/- 26, p < .01). The Short Form-36 Physical Component Summary (PCS) scores were higher (better) in revascularized patients (37 +/- 9 vs. 31 +/- 9, p < .01), whereas Mental Component Summary scores were equivalent (49 +/- 13 vs. 51 +/- 11, p = ns). Sleep dysfunction scores were lower (better) in the revascularized patients (32 +/- 26 vs. 48 +/- 32, p < .001), whereas self-reported appetite was higher (better; 62% +/- 29% vs. 73% +/- 27%,p < .05). After matching for age and gender, Short Form-36 PCS remained higher in the revascularized cohort (37 +/- 8 vs. 32 +/- 8, p < .05). Importantly, in multivariate analysis, revascularization was the most significant determinant of a higher PCS score (r2 = .07, beta = 5.21, p < .01). The current data suggest that renal artery stenting may improve health-related quality of life in patients with renovascular disease.
- Subjects :
- Activities of Daily Living
Aged
Anorexia prevention & control
Antihypertensive Agents therapeutic use
Calcium Channel Blockers therapeutic use
Combined Modality Therapy
Cross-Sectional Studies
Female
Follow-Up Studies
Health Status
Humans
Linear Models
Male
Mental Health
Middle Aged
Multivariate Analysis
Nursing Methodology Research
Ohio
Renal Artery Obstruction complications
Renal Artery Obstruction diagnosis
Sleep Wake Disorders prevention & control
Surveys and Questionnaires
Treatment Outcome
Attitude to Health
Quality of Life psychology
Renal Artery Obstruction psychology
Renal Artery Obstruction surgery
Stents psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1099-8004
- Volume :
- 8
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Biological research for nursing
- Publication Type :
- Academic Journal
- Accession number :
- 17003252
- Full Text :
- https://doi.org/10.1177/1099800406291459