Predictors of Long-term HRQOL Following Cardiac Surgery: a 5-year Follow-up Study

Overview

Journal Health Qual Life Outcomes

Publisher Biomed Central

Specialty Public Health

Date 2021 Aug 18

PMID 34404411

Authors

Daiva Grazulyte

Ieva Norkiene

Evaldas Kazlauskas

Inga Truskauskaite-Kuneviciene

Smilte Kolevinskaite

Donata Ringaitiene

Jurate Sipylaite

Affiliations

Soon will be listed here.

Abstract

Background: The study aimed to evaluate the long-term change of health-related quality of life (HRQOL) and to identify predictors of HRQOL 5 years after cardiac surgery.

Methods: Consecutive adult patients, undergoing elective cardiac surgery were enrolled in the study. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before and 5-years after cardiac surgery. A multivariate latent change modeling approach was used for data analysis.

Results: 210 participants (30.5% female) were reached at 5-year follow-up and included in final data analysis. The study revealed, after controlling for gender effects, a significant long-term positive change, in physical functioning (PF, M = 19.79, p < 0.001), social functioning (SF, M = 17.27, p < 0.001), vitality (VT, M = 6.309, p < 0.001) and mental health (MH, M = 8.40, p < .001) in the total sample. Lower education was associated with an increase in PF (M = 24.09, p < 0.001) and VT (M = 8.39, p < 0.001), more complicated surgery (other than the coronary artery bypass graft (CABG) predicted increase in general health (GH, M = 6.76, p = 0.005). Arrhythmia was a significant predictor for lower pre- and post-operative VT and SF.

Conclusions: Overall HRQOL in our sample improved from baseline to five years postoperatively. Further studies including larger patient groups are needed to confirm these findings.

References

van Breugel H, Parise O, Nieman F, Accord R, Luca F, Lozekoot P . Does sinus rhythm conversion after cardiac surgery affect postoperative health- related quality of life?. J Cardiothorac Surg. 2016; 11(1):75. PMC: 4855340. DOI: 10.1186/s13019-016-0459-2. View

Staniute M, Brozaitiene J, Bunevicius R . Effects of social support and stressful life events on health-related quality of life in coronary artery disease patients. J Cardiovasc Nurs. 2011; 28(1):83-9. DOI: 10.1097/JCN.0b013e318233e69d. View

Tully P . Quality-of-Life measures for cardiac surgery practice and research: a review and primer. J Extra Corpor Technol. 2013; 45(1):8-15. PMC: 4557469. View

Norkiene I, Urbanaviciute I, Kezyte G, Vicka V, Jovaisa T . Impact of pre-operative health-related quality of life on outcomes after heart surgery. ANZ J Surg. 2017; 88(4):332-336. DOI: 10.1111/ans.14061. View

Gjeilo K, Stenseth R, Wahba A, Lydersen S, Klepstad P . Long-term health-related quality of life and survival after cardiac surgery: A prospective study. J Thorac Cardiovasc Surg. 2018; 156(6):2183-2190.e2. DOI: 10.1016/j.jtcvs.2018.05.087. View

Rajati F, Feizi A, Tavakol K, Mostafavi F, Sadeghi M, Sharifirad G . Comparative Evaluation of Health-Related Quality of Life Questionnaires in Patients With Heart Failure Undergoing Cardiac Rehabilitation: A Psychometric Study. Arch Phys Med Rehabil. 2016; 97(11):1953-1962. DOI: 10.1016/j.apmr.2016.05.010. View

Lie I, Bunch E, Smeby N, Arnesen H, Hamilton G . Patients' experiences with symptoms and needs in the early rehabilitation phase after coronary artery bypass grafting. Eur J Cardiovasc Nurs. 2010; 11(1):14-24. DOI: 10.1016/j.ejcnurse.2010.09.004. View

Perrotti A, Ecarnot F, Monaco F, Dorigo E, Monteleone P, Besch G . Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study. Health Qual Life Outcomes. 2019; 17(1):88. PMC: 6532216. DOI: 10.1186/s12955-019-1160-7. View

Al-Ruzzeh S, Athanasiou T, Mangoush O, Wray J, Modine T, George S . Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery. Heart. 2005; 91(12):1557-62. PMC: 1769231. DOI: 10.1136/hrt.2004.047068. View

10.

Moshki M, Khajavi A, Vakilian F, Minaee S, Hashemizadeh H . The content comparison of health-related quality of life measures in heart failure based on the international classification of functioning, disability, and health: a systematic review. J Cardiovasc Thorac Res. 2019; 11(3):167-175. PMC: 6759616. DOI: 10.15171/jcvtr.2019.29. View

11.

Gierlaszynska K, Pudlo R, Jaworska I, Byrczek-Godula K, Gasior M . Tools for assessing quality of life in cardiology and cardiac surgery. Kardiochir Torakochirurgia Pol. 2016; 13(1):78-82. PMC: 4860444. DOI: 10.5114/kitp.2016.58974. View

12.

Merkouris A, Apostolakis E, Pistolas D, Papagiannaki V, Diakomopoulou E, Patiraki E . Quality of life after coronary artery bypass graft surgery in the elderly. Eur J Cardiovasc Nurs. 2008; 8(1):74-81. DOI: 10.1016/j.ejcnurse.2008.02.008. View

13.

Clarkesmith D, Pattison H, Khaing P, Lane D . Educational and behavioural interventions for anticoagulant therapy in patients with atrial fibrillation. Cochrane Database Syst Rev. 2017; 4:CD008600. PMC: 6478129. DOI: 10.1002/14651858.CD008600.pub3. View

14.

Thomson Mangnall L, Sibbritt D, Fry M, Windus M, Gallagher R . Health-related quality of life of patients after mechanical valve replacement surgery for rheumatic heart disease in a developing country. Heart Asia. 2016; 6(1):172-8. PMC: 4832766. DOI: 10.1136/heartasia-2014-010562. View

15.

Brazier J, Harper R, Jones N, OCathain A, Thomas K, Usherwood T . Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992; 305(6846):160-4. PMC: 1883187. DOI: 10.1136/bmj.305.6846.160. View

16.

Chalmers J, Pullan M, Fabri B, McShane J, Shaw M, Mediratta N . Validation of EuroSCORE II in a modern cohort of patients undergoing cardiac surgery. Eur J Cardiothorac Surg. 2012; 43(4):688-94. DOI: 10.1093/ejcts/ezs406. View

17.

Norris C, Spertus J, Jensen L, Johnson J, Hegadoren K, Ghali W . Sex and gender discrepancies in health-related quality of life outcomes among patients with established coronary artery disease. Circ Cardiovasc Qual Outcomes. 2009; 1(2):123-30. DOI: 10.1161/CIRCOUTCOMES.108.793448. View

18.

Rijnhart-de Jong H, Haenen J, Bol Raap G, Jekel L, Vossenberg T, Bondarenko O . Determinants of non-recovery in physical health-related quality of life one year after cardiac surgery: a prospective single Centre observational study. J Cardiothorac Surg. 2020; 15(1):234. PMC: 7466488. DOI: 10.1186/s13019-020-01273-1. View

19.

Sawatzky J, Naimark B . The coronary artery bypass graft surgery trajectory: Gender differences revisited. Eur J Cardiovasc Nurs. 2009; 8(4):302-8. DOI: 10.1016/j.ejcnurse.2009.02.003. View

20.

Gaudino M, Girola F, Piscitelli M, Martinelli L, Anselmi A, Della Vella C . Long-term survival and quality of life of patients with prolonged postoperative intensive care unit stay: unmasking an apparent success. J Thorac Cardiovasc Surg. 2007; 134(2):465-9. DOI: 10.1016/j.jtcvs.2007.04.028. View