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Predictors of long-term HRQOL following cardiac surgery: a 5-year follow-up study.
- Source :
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Health and quality of life outcomes [Health Qual Life Outcomes] 2021 Aug 17; Vol. 19 (1), pp. 197. Date of Electronic Publication: 2021 Aug 17. - Publication Year :
- 2021
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Abstract
- Background: The study aimed to evaluate the long-term change of health-related quality of life (HRQOL) and to identify predictors of HRQOL 5 years after cardiac surgery.<br />Methods: Consecutive adult patients, undergoing elective cardiac surgery were enrolled in the study. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before and 5-years after cardiac surgery. A multivariate latent change modeling approach was used for data analysis.<br />Results: 210 participants (30.5% female) were reached at 5-year follow-up and included in final data analysis. The study revealed, after controlling for gender effects, a significant long-term positive change, in physical functioning (PF, M <subscript>slope</subscript> = 19.79, p < 0.001), social functioning (SF, M <subscript>slope</subscript> = 17.27, p < 0.001), vitality (VT, M <subscript>slope</subscript> = 6.309, p < 0.001) and mental health (MH, M <subscript>slope</subscript> = 8.40, p < .001) in the total sample. Lower education was associated with an increase in PF (M <subscript>slope</subscript> = 24.09, p < 0.001) and VT (M <subscript>slope</subscript> = 8.39, p < 0.001), more complicated surgery (other than the coronary artery bypass graft (CABG) predicted increase in general health (GH, M <subscript>slope</subscript> = 6.76, p = 0.005). Arrhythmia was a significant predictor for lower pre- and post-operative VT and SF.<br />Conclusions: Overall HRQOL in our sample improved from baseline to five years postoperatively. Further studies including larger patient groups are needed to confirm these findings.<br /> (© 2021. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1477-7525
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Health and quality of life outcomes
- Publication Type :
- Academic Journal
- Accession number :
- 34404411
- Full Text :
- https://doi.org/10.1186/s12955-021-01838-1