PMID- 33565744
OWN - NLM
STAT- MEDLINE
DCOM- 20210511
LR  - 20210511
IS  - 1827-191X (Electronic)
IS  - 0021-9509 (Linking)
VI  - 62
IP  - 3
DP  - 2021 Jun
TI  - Predictors of patient-reported health following cardiac surgery.
PG  - 278-285
LID - 10.23736/S0021-9509.21.11452-1 [doi]
AB  - BACKGROUND: Patient-reported health status is one of the most important aspects 
      of cardiovascular outcomes. The aim of this study was to assess patient-reported 
      health and its determinants following cardiac surgery. METHODS: Cross-sectional 
      study was performed among 128 patients (mean age: 66.02; 35.9% women). Three 
      months after surgery patients filled in The Short Form 12 Health Survey (SF-12) 
      and Brief-Illness Perception Questionnaire (B-IPQ). Patient-reported health was 
      assessed using SF-12 General Health component. RESULTS: The mean General Health 
      score was 47.34 (SD=20.94). General Health was significantly positively 
      correlated with SF-12 Physical and Mental Component Summary (P<0.01). Significant 
      negative correlations were noted between General Health and European System for 
      Cardiac Operative Risk Factor (EuroSCORE) (P=0.012) and Body Mass Index (BMI) 
      (P=0.026). Higher scores on B-IPQ Consequences, Timeline, Identity, Emotional 
      Response (P<0.01) and Concern (P=0.03) were related to worse General Health. 
      Higher perceived effectiveness of surgery (P<0.01) and Treatment control 
      (P=0.003) were associated with higher General Health score. More negative illness 
      perception was significantly related to lower General Health (P<0.01). No 
      significant associations between General Health and mode and weight of the 
      procedure, myocardial infarction, previous percutaneous coronary intervention, 
      New York Heart Association (NYHA) and Canadian Cardiovascular Society (CCS) class 
      and postsurgical complications were noted. Structural equation modeling (SEM) 
      revealed that illness perception domains, BMI and EuroSCORE are the main 
      determinants of General Health. CONCLUSIONS: Modifiable factors, especially 
      illness perception are important determinants of patient-reported health after 
      cardiac surgery. Evaluation of illness perception seems vital since it may lead 
      to address patients' concerns and improve outcomes.
FAU - Jarmoszewicz, Krzysztof
AU  - Jarmoszewicz K
AD  - Department of Cardiac Surgery, Florian Ceynowa Specialist Hospital, Wejherowo, 
      Poland.
FAU - Nowicka-Sauer, Katarzyna
AU  - Nowicka-Sauer K
AD  - Department of Cardiac Surgery, Florian Ceynowa Specialist Hospital, Wejherowo, 
      Poland - kpsauer@gumed.edu.pl.
AD  - Department of Family Medicine, Faculty of Medicine, Medical University of Gdansk, 
      Gdansk, Poland.
FAU - Wera, Kamil
AU  - Wera K
AD  - Department of Cardiology, Mikolaj Kopernik Specialist Municipal Hospital in 
      Torun, Torun, Poland.
FAU - Meslin-Kuzniak, Anna
AU  - Meslin-Kuzniak A
AD  - Private Practitioner in Psychotherapy, Neurologopedic Therapy and Sensory 
      Integration, Gdansk, Poland.
FAU - Beta, Sebastian
AU  - Beta S
AD  - Department of Cardiac Surgery, Florian Ceynowa Specialist Hospital, Wejherowo, 
      Poland.
FAU - Pietrzykowska, Malgorzata
AU  - Pietrzykowska M
AD  - Department of Family Medicine, Faculty of Medicine, Medical University of Gdansk, 
      Gdansk, Poland.
LA  - eng
PT  - Journal Article
DEP - 20210210
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures
MH  - Cardiovascular Diseases/*surgery
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Health Status
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Reported Outcome Measures
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2021/02/11 06:00
MHDA- 2021/05/12 06:00
CRDT- 2021/02/10 08:41
PHST- 2021/02/11 06:00 [pubmed]
PHST- 2021/05/12 06:00 [medline]
PHST- 2021/02/10 08:41 [entrez]
AID - S0021-9509.21.11452-1 [pii]
AID - 10.23736/S0021-9509.21.11452-1 [doi]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 2021 Jun;62(3):278-285. doi: 
      10.23736/S0021-9509.21.11452-1. Epub 2021 Feb 10.