Nighttime sleep duration was the only independent predictor of general satisfaction following off-pump CABG (β = 0.15; 95% CI 0.01-0.29; p = 0.032) and correlated positively with five SF-36 domains.
Cross-Sectional (n=102)
No
What are the clinical and behavioral predictors of patient-reported quality of life and satisfaction following off-pump CABG?
Nighttime sleep duration is an independent predictor of general satisfaction and quality of life following off-pump CABG, highlighting the importance of modifiable behavioral factors in postoperative recovery.
Effect estimate: β = 0.15 (95% CI 0.01-0.29)
p-value: p=0.032
Abstract Rationale Although off-pump coronary artery bypass grafting (CABG) improves quality of life (QoL), many factors, such as clinical and demographic characteristics and sex-specific differences, impact on QoL remain understudied. Our study aims to evaluate how demographic, clinical, and behavioral factors (sleep duration, medication adherence, smoking), Gender-specific differences, and emotional well-being influence patient-reported quality of life and satisfaction following off-pump CABG. Methods We conducted a single-center cross-sectional study including patients who underwent off-pump CABG between February 2021 and December 2024. We excluded patients who underwent other concomitant cardiac procedures or developed major postoperative complications. Structured telephone interviews were conducted using validated instruments: the Short Form-36 (SF-36) for health-related quality of life, the Patient Satisfaction Questionnaire (PSQ), and the Morisky Medication Adherence Scale (MMAS-8). Participants were stratified by sex, follow-up duration, and comorbidity burden. Group differences were evaluated with nonparametric tests, associations were examined with correlation analyses, and multivariable linear regression was used to identify predictors of overall satisfaction and QoL. Results A total of 102 off-pump CABG patients were included (median age 58 years). Of these patients, 80 (78.4%) were male, 45 (44.1%) had follow-up 2 years, and 85 (83.3%) were non-smokers. Physical functioning scores were lower in females compared to males (55% vs. 75%, p = 0.015), while emotional well-being was higher in females (p =0.029). Medication adherence scores (MMAS) were higher in patients with 2 years follow-up compared to those with shorter follow-up (7 vs. 5.4, p = 0.043). Emotional recovery was also higher in the longer follow-up group (p = 0.009). Nighttime sleep duration was the only independent predictor of general satisfaction (β = 0.15; 95% CI 0.01-0.29; p = 0.032) and correlated positively with five SF-36 domains. Health perception scores were higher in patients with 2 grafts compared to those with ≤2 grafts (66.7% vs. 40%, p0.001). Physical functioning declined progressively with increasing comorbidity burden; patients having all three comorbidities (HTN, DM, CVD) showed the lowest scores (p = 0.022). Conclusions Post-CABG recovery may be affected by modifiable behavioral and clinical factors. Sleep duration, gender, and follow-up length may independently influence the level of satisfaction and metrics of QoL. These findings underscore the value of personalized, long-term support strategies in cardiac surgical care. This abstract is funded by: None
Mohammed et al. (Fri,) conducted a cross-sectional in off-pump CABG (n=102). Demographic, clinical, and behavioral factors was evaluated on general satisfaction (β = 0.15, 95% CI 0.01-0.29, p=0.032). Nighttime sleep duration was the only independent predictor of general satisfaction following off-pump CABG (β = 0.15; 95% CI 0.01-0.29; p = 0.032) and correlated positively with five SF-36 domains.