PMID- 31499539
OWN - NLM
STAT- MEDLINE
DCOM- 20220603
LR  - 20220701
IS  - 1439-1902 (Electronic)
IS  - 0171-6425 (Linking)
VI  - 70
IP  - 3
DP  - 2022 Apr
TI  - Impact of Preoperative Functional Status on Quality of Life after Cardiac 
      Surgery.
PG  - 205-212
LID - 10.1055/s-0039-1696953 [doi]
AB  - BACKGROUND: With increasing importance, health-related quality of life (HRQoL) 
      has become a crucial outcome measure of cardiac surgery. The aim of this study 
      was to assess the dynamics of HRQoL change within 12 months after surgery and to 
      identify predictors of deterioration in physical and mental health. METHODS: The 
      cohort of this prospective study included 164 consecutive patients who underwent 
      elective surgery. HRQoL was assessed on the basis of the Short-Form 36 
      questionnaire at three different times: upon admission and at 3 and 12 months 
      after surgery. The minimal clinically important difference (MCID) was used to 
      determine whether the surgery resulted in deterioration of HRQoL. RESULTS: In 
      general, physical and mental health status improved within the first year after 
      cardiac surgery. However, after 12 months, 7.9 and 21.2% of patients had 
      clinically significant poorer physical (PCS) and mental component summary (MCS) 
      scores, based on the MCID approach. The results of multivariate analysis 
      identified preoperative health status, age < 70 years, coronary artery bypass 
      grafting, and a previous neurological event as predictors of deterioration in 
      postoperative HRQoL. The greatest risks for deterioration were higher 
      preoperative PCS and MCS scores. CONCLUSION: Although we were able to demonstrate 
      a general improvement in the HRQoL following cardiac surgery, in one-fifth of 
      patients, there was no recovery of mental health status even after 1 year. As 
      this effect is mainly determined by preoperative functional status, HRQoL should 
      be an integral part of medical consultation, especially in younger patients with 
      a positive perception of quality of life.
CI  - Thieme. All rights reserved.
FAU - Joskowiak, Dominik
AU  - Joskowiak D
AD  - Department of Cardiac Surgery, Ludwig Maximilians University Munich, Munchen, 
      Bayern, Germany.
FAU - Meusel, Daniela
AU  - Meusel D
AD  - Department of Cardiac Surgery, Ludwig Maximilians University Munich, Munchen, 
      Bayern, Germany.
FAU - Kamla, Christine
AU  - Kamla C
AD  - Department of Cardiac Surgery, Ludwig Maximilians University Munich, Munchen, 
      Bayern, Germany.
FAU - Hagl, Christian
AU  - Hagl C
AD  - Department of Cardiac Surgery, Ludwig Maximilians University Munich, Munchen, 
      Bayern, Germany.
FAU - Juchem, Gerd
AU  - Juchem G
AD  - Department of Cardiac Surgery, Ludwig Maximilians University Munich, Munchen, 
      Bayern, Germany.
LA  - eng
PT  - Journal Article
DEP - 20220601
PL  - Germany
TA  - Thorac Cardiovasc Surg
JT  - The Thoracic and cardiovascular surgeon
JID - 7903387
SB  - IM
MH  - Aged
MH  - *Cardiac Surgical Procedures/adverse effects/psychology
MH  - Functional Status
MH  - Humans
MH  - Prospective Studies
MH  - *Quality of Life/psychology
MH  - Treatment Outcome
COIS- None.
EDAT- 2019/09/10 06:00
MHDA- 2022/06/07 06:00
CRDT- 2019/09/10 06:00
PHST- 2019/09/10 06:00 [pubmed]
PHST- 2022/06/07 06:00 [medline]
PHST- 2019/09/10 06:00 [entrez]
AID - 10.1055/s-0039-1696953 [doi]
PST - ppublish
SO  - Thorac Cardiovasc Surg. 2022 Apr;70(3):205-212. doi: 10.1055/s-0039-1696953. Epub 
      2022 Jun 1.