Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study
Abstract Background Quality of life (QoL) is a multifactorial concept that assesses physical and mental health. We prospectively studied the quality of life of patients undergoing coronary artery bypass graft (CABG) surgery using the Short-Form 36-item questionnaire (SF-36) up to 10 years after surg...
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doaj-15687e9ecc0f40a0b264ac13f7db6e032020-11-25T03:09:20ZengBMCHealth and Quality of Life Outcomes1477-75252019-05-011711910.1186/s12955-019-1160-7Quality of life 10 years after cardiac surgery in adults: a long-term follow-up studyAndrea Perrotti0Fiona Ecarnot1Francesco Monaco2Enrica Dorigo3Palmiero Monteleone4Guillaume Besch5Sidney Chocron6Cardio-Thoracic Surgery Department, University Hospital Jean MinjozEA 3920, University of Franche-ComtéCardio-Thoracic Surgery Department, University Hospital Jean MinjozCardio-Thoracic Surgery Department, University Hospital Jean MinjozDepartment of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Section of Neurosciences, University of SalernoEA 3920, University of Franche-ComtéCardio-Thoracic Surgery Department, University Hospital Jean MinjozAbstract Background Quality of life (QoL) is a multifactorial concept that assesses physical and mental health. We prospectively studied the quality of life of patients undergoing coronary artery bypass graft (CABG) surgery using the Short-Form 36-item questionnaire (SF-36) up to 10 years after surgery. Methods Between January 2000 and December 2002, all patients undergoing elective isolated CABG in the cardiac & thoracic surgery department of a large university hospital in Eastern France underwent initial QoL evaluation with the SF-36. The same questionnaire was mailed to every patient annually (± 2 weeks around the date of surgery) up to 10 years after their operation. We recorded socio-demographic and clinical variables at inclusion. Predictors of impaired QoL at 10 years were identified by logistic regression. Results A total of 272 patients (213 men, 59 women) were enrolled; mean age at inclusion was 65 ± 10 years. At 10 years post-surgery, 81 patients had died (29.7%). The physical component summary (PCS) score was significantly higher at 5 years after surgery than at baseline (p < 0.01), and significantly lower at 10 years than at 5 years (p < 0.01), although there remained a significant difference between 10-year PCS and baseline score (p = 0.004). The mental component summary (MCS) score was significantly higher at 5 years than at the time of surgery (p < 0.001), and remained significantly higher compared to baseline at 10 years after surgery (p = 0.010). By multivariate analysis, diabetes and dypsnea were both associated with worse PCS at 10 years, while lower age was associated with better 10-year PCS. Only diabetes was associated with impaired MCS at 10 years. Conclusions Cardiac surgery appears to durably and positively affect both physical and mental components of quality of life.http://link.springer.com/article/10.1186/s12955-019-1160-7Quality of lifeCardiac surgeryFollow upCoronary artery bypass graft |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrea Perrotti Fiona Ecarnot Francesco Monaco Enrica Dorigo Palmiero Monteleone Guillaume Besch Sidney Chocron |
spellingShingle |
Andrea Perrotti Fiona Ecarnot Francesco Monaco Enrica Dorigo Palmiero Monteleone Guillaume Besch Sidney Chocron Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study Health and Quality of Life Outcomes Quality of life Cardiac surgery Follow up Coronary artery bypass graft |
author_facet |
Andrea Perrotti Fiona Ecarnot Francesco Monaco Enrica Dorigo Palmiero Monteleone Guillaume Besch Sidney Chocron |
author_sort |
Andrea Perrotti |
title |
Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
title_short |
Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
title_full |
Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
title_fullStr |
Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
title_full_unstemmed |
Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
title_sort |
quality of life 10 years after cardiac surgery in adults: a long-term follow-up study |
publisher |
BMC |
series |
Health and Quality of Life Outcomes |
issn |
1477-7525 |
publishDate |
2019-05-01 |
description |
Abstract Background Quality of life (QoL) is a multifactorial concept that assesses physical and mental health. We prospectively studied the quality of life of patients undergoing coronary artery bypass graft (CABG) surgery using the Short-Form 36-item questionnaire (SF-36) up to 10 years after surgery. Methods Between January 2000 and December 2002, all patients undergoing elective isolated CABG in the cardiac & thoracic surgery department of a large university hospital in Eastern France underwent initial QoL evaluation with the SF-36. The same questionnaire was mailed to every patient annually (± 2 weeks around the date of surgery) up to 10 years after their operation. We recorded socio-demographic and clinical variables at inclusion. Predictors of impaired QoL at 10 years were identified by logistic regression. Results A total of 272 patients (213 men, 59 women) were enrolled; mean age at inclusion was 65 ± 10 years. At 10 years post-surgery, 81 patients had died (29.7%). The physical component summary (PCS) score was significantly higher at 5 years after surgery than at baseline (p < 0.01), and significantly lower at 10 years than at 5 years (p < 0.01), although there remained a significant difference between 10-year PCS and baseline score (p = 0.004). The mental component summary (MCS) score was significantly higher at 5 years than at the time of surgery (p < 0.001), and remained significantly higher compared to baseline at 10 years after surgery (p = 0.010). By multivariate analysis, diabetes and dypsnea were both associated with worse PCS at 10 years, while lower age was associated with better 10-year PCS. Only diabetes was associated with impaired MCS at 10 years. Conclusions Cardiac surgery appears to durably and positively affect both physical and mental components of quality of life. |
topic |
Quality of life Cardiac surgery Follow up Coronary artery bypass graft |
url |
http://link.springer.com/article/10.1186/s12955-019-1160-7 |
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