PMID- 27091284 OWN - NLM STAT- MEDLINE DCOM- 20170321 LR - 20170321 IS - 1532-8201 (Electronic) IS - 0897-1897 (Linking) VI - 30 DP - 2016 May TI - Factors influencing health-related quality of life after primary percutaneous coronary intervention for ST-elevation myocardial infarction. PG - 237-44 LID - S0897-1897(15)00176-7 [pii] LID - 10.1016/j.apnr.2015.09.002 [doi] AB - AIMS: This study compared health-related quality of life (HRQOL) between patients aged >/= 70 and <70 years at 4 weeks and 6 months after primary percutaneous coronary intervention (PPCI) and examined predictors of HRQOL. BACKGROUND: HRQOL is an important patient outcome following PPCI for ST elevation myocardial infarction (STEMI) including pre-hospital field triage. METHODS: A comparative cohort design was conducted on STEMI patients undergoing PPCI. HRQOL was measured using the Medical Outcomes Short Form-12 (SF-12) and the Seattle Angina Questionnaire (SAQ) at 4 weeks and 6 months post-PPCI. RESULTS: HRQOL improved significantly from 4 weeks to 6 months in all aspects measured except anginal frequency and mental health. Patients aged >/= 70 years had poorer physical HRQOL (SF-12) and physical limitations (SAQ), but better mental HRQOL (SF-12), angina frequency and QOL (SAQ) at both time points. Age, length of hospital stay, gender, partnership status and number of stents deployed are independent predictors of HRQOL improvement over time. CONCLUSION: People >/= 70 years reported better cardiac-specific quality of life, primarily from angina relief and improved mental function, despite worse physical limitations. HRQOL assessment is an important gauge of health status after PPCI for STEMI. CI - Crown Copyright (c) 2015. Published by Elsevier Inc. All rights reserved. FAU - Yeng, Soo Hoo Soon AU - Yeng SH AD - Royal North Shore Hospital, Department of Cardiology, Sydney, NSW, 2065, Australia; University of Technology, Sydney, NSW, 2007, Australia. Electronic address: soon.soohoo@health.nsw.gov.au. FAU - Gallagher, Robyn AU - Gallagher R AD - University of Sydney, Charles Perkins Centre and Sydney Nursing School, Sydney, NSW, 2006, Australia. Electronic address: robyn.gallagher@sydney.edu.au. FAU - Elliott, Doug AU - Elliott D AD - University of Technology Sydney, Faculty of Health, Sydney, NSW, 2007, Australia. Electronic address: doug.elliott@uts.edu.au. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150911 PL - United States TA - Appl Nurs Res JT - Applied nursing research : ANR JID - 8901557 SB - IM MH - Aged MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*physiopathology/*surgery MH - *Percutaneous Coronary Intervention MH - *Quality of Life OTO - NOTNLM OT - Elderly OT - Health-related quality of life OT - Older OT - Percutaneous coronary intervention OT - Quality of life OT - ST-elevation myocardial infarction EDAT- 2016/04/20 06:00 MHDA- 2017/03/23 06:00 CRDT- 2016/04/20 06:00 PHST- 2014/09/09 00:00 [received] PHST- 2015/08/27 00:00 [revised] PHST- 2015/09/06 00:00 [accepted] PHST- 2016/04/20 06:00 [entrez] PHST- 2016/04/20 06:00 [pubmed] PHST- 2017/03/23 06:00 [medline] AID - S0897-1897(15)00176-7 [pii] AID - 10.1016/j.apnr.2015.09.002 [doi] PST - ppublish SO - Appl Nurs Res. 2016 May;30:237-44. doi: 10.1016/j.apnr.2015.09.002. Epub 2015 Sep 11.