PMID- 20122328
OWN - NLM
STAT- MEDLINE
DCOM- 20100409
LR  - 20151119
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 172
IP  - 5
DP  - 2010 Feb 1
TI  - [Quality of life after aortic valve-replacement in patients > or = 75 years].
PG  - 355-9
AB  - INTRODUCTION: A growing number of elderly undergo surgery of the aortic valve. It 
      is therefore important to investigate their postoperative course concerning 
      quality of life. MATERIAL AND METHODS: A questionnaire was designed and 
      distributed, which retrospectively illustrated quality of life pre- and 
      postoperatively in a cohort consisting of 124 patients aged >or= 75 years 
      extracted from the Western Danish Cardiac Database. All patients were operated at 
      Department T, Odense University Hospital in the period 2003-2005. All had a 
      prosthetic aortic valve inserted without any concomitant procedure. Cause and 
      date of death was obtained from death certificates. The median follow-up was 43 
      month (range: 36-72). RESULTS: The patients' well-being generally showed an 
      increase of 35% following surgery. Social interactions were enhanced in 10% of 
      the cohort. After surgery, 14% stated that they now had a good level of physical 
      activity, 1% expressed good energy level and 6% greater joy. The study showed a 
      slight increase in the need for help for everyday life. The patients' New York 
      Heart Association (NYHA) class was improved in 25%, unchanged in 60% and worsened 
      in 15% of patients. Regarding the patients' own expectations to the outcome, 49% 
      stated "as expected", 37% "better" and 14% "worse than expected". The 
      distribution on housing types showed only moderate variation from the background 
      population. The late mortality rate corresponded to that of the age-matched 
      background population. CONCLUSION: Postoperatively, an improved quality of life 
      was found in the majority of patients >or= 75 years who had undergone aortic 
      valve surgery, and long-term survival was not affected. Hence, it is justified to 
      perform this type of surgery in the elderly.
FAU - Petersen, Rasa Skrupskelyte
AU  - Petersen RS
AD  - Odense Universitetshospital, Afdeling T, Odense SO, Denmark. rasa@dkpost.com
FAU - Poulsen, Anja
AU  - Poulsen A
LA  - dan
PT  - English Abstract
PT  - Journal Article
TT  - Livskvalitet efter aortaklapoperation hos patienter > or = 75 ar.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Cause of Death
MH  - Cohort Studies
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis/adverse effects/*psychology
MH  - Humans
MH  - Postoperative Period
MH  - Preoperative Period
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 2010/02/04 06:00
MHDA- 2010/04/10 06:00
CRDT- 2010/02/04 06:00
PHST- 2010/02/04 06:00 [entrez]
PHST- 2010/02/04 06:00 [pubmed]
PHST- 2010/04/10 06:00 [medline]
AID - VP05090199 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2010 Feb 1;172(5):355-9.