PMID- 33984484
OWN - NLM
STAT- MEDLINE
DCOM- 20220603
LR  - 20230703
IS  - 1532-9488 (Electronic)
IS  - 1043-0679 (Print)
IS  - 1043-0679 (Linking)
VI  - 34
IP  - 2
DP  - 2022 Summer
TI  - Quality of Life Worsens After Surgical Repair of Acute Type A Aortic Dissection.
PG  - 399-407
LID - S1043-0679(21)00188-X [pii]
LID - 10.1053/j.semtcvs.2021.03.040 [doi]
AB  - This study aimed to determine how acute type A aortic dissection (ATAAD) impacts 
      patients' quality of life. The 36-Item Short Form Survey (SF-36) was used to 
      measure quality of life. The eight SF-36 scales were aggregated into a two-factor 
      summary: physical and mental component summary scales (PCS and MCS). One hundred 
      fourteen patients were included in the ATAAD group and 81 patients in the aortic 
      valve replacement (AVR) group. All patients underwent surgery between June 2007 
      and December 2018. Surveys were completed after the operation. The mean scaled 
      score of the ATAAD group decreased significantly in all eight domains of the 
      SF-36 survey after aortic dissection repair except mental health. Also, the 
      postsurgery PCS score was significantly lower than the presurgery score (39 vs 
      49; P < 0.0001). Multivariable regression confirmed the negative impact of ATAAD 
      on postsurgery PCS score and higher presurgery PCS score had a significant 
      positive impact. The postsurgery MCS score did not change significantly (49 vs 
      50; P = 0.32), but higher preoperative MCS score had a significant positive 
      impact on the postsurgery MCS score. Age, sex, connective tissue disorders, and 
      stroke did not contribute significantly to the postsurgery PCS and MCS scores. 
      The AVR group had significantly increased postsurgery PCS and MCS scores compared 
      to the presurgery scores (47 vs 41; P < 0.0001) and (53 vs 51; P = 0.02) 
      respectively. Patients reported significantly decreased physical health after 
      recovery from acute type A aortic dissection repair. A multidisciplinary approach 
      is needed to improve patients' quality of life.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - St Pierre, Emma C
AU  - St Pierre EC
AD  - Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan.
FAU - Orelaru, Felix
AU  - Orelaru F
AD  - Department of General Surgery, St. Joseph Mercy, Ann Arbor, Michigan.
FAU - Naeem, Aroma
AU  - Naeem A
AD  - Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan.
FAU - Farhat, Linda
AU  - Farhat L
AD  - Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan.
FAU - Wu, Xiaoting
AU  - Wu X
AD  - Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan.
FAU - Yang, Bo
AU  - Yang B
AD  - Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan. Electronic 
      address: boya@med.umich.edu.
LA  - eng
GR  - K08 HL130614/HL/NHLBI NIH HHS/United States
GR  - R01 HL141891/HL/NHLBI NIH HHS/United States
GR  - R01 HL151776/HL/NHLBI NIH HHS/United States
PT  - Journal Article
DEP - 20210511
PL  - United States
TA  - Semin Thorac Cardiovasc Surg
JT  - Seminars in thoracic and cardiovascular surgery
JID - 8917640
SB  - IM
CIN - Semin Thorac Cardiovasc Surg. 2022 Summer;34(2):408-409. PMID: 34004295
MH  - *Aortic Dissection/diagnostic imaging/surgery
MH  - Aortic Valve/diagnostic imaging/surgery
MH  - Humans
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
PMC - PMC8581075
MID - NIHMS1702563
OTO - NOTNLM
OT  - Aortic valve replacement
OT  - Mental health
OT  - Quality of life
OT  - SF-36
OT  - Type A aortic dissection
COIS- Conflict of Interest: None related to this study.
EDAT- 2021/05/14 06:00
MHDA- 2022/06/07 06:00
PMCR- 2023/07/01
CRDT- 2021/05/13 20:13
PHST- 2021/02/19 00:00 [received]
PHST- 2021/03/04 00:00 [accepted]
PHST- 2021/05/14 06:00 [pubmed]
PHST- 2022/06/07 06:00 [medline]
PHST- 2021/05/13 20:13 [entrez]
PHST- 2023/07/01 00:00 [pmc-release]
AID - S1043-0679(21)00188-X [pii]
AID - 10.1053/j.semtcvs.2021.03.040 [doi]
PST - ppublish
SO  - Semin Thorac Cardiovasc Surg. 2022 Summer;34(2):399-407. doi: 
      10.1053/j.semtcvs.2021.03.040. Epub 2021 May 11.