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September 26, 2024Journal of Patient-Reported OutcomesOpen Access

Characteristics of longitudinal changes in quality of life and associated factors in patients post cardiac and thoracic aortic surgery: insights from a prospective cohort study

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Why the study?

The course of quality of life and associated factors from postoperative hospitalization to post-discharge, as assessed by the EQ-5D-5L index score, had not been adequately characterized in patients post-cardiac and thoracic aortic surgery.

Population

117 patients undergoing open cardiovascular surgery

Comparison

Patients with vs without QOL decrease post-discharge

Design

Prospective single-center cohort study

Follow-up

1 year post-discharge

Authors

MSMasaaki SatoHMHitoshi MutaiSYShuhei Yamamoto

Discussion

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Overview

Patients with lower preoperative ADL, hemoglobin, and cognition warrant monitoring for post-discharge QOL decline after cardiac surgery; leaves open whether targeted interventions help.

Structured PICO

P
Population
117 adults aged ≥20 years who underwent open cardiac and thoracic aortic surgery (coronary artery bypass, valvular surgery, surgical repair of the thoracic aorta, combined surgery, or other procedures), median age 72, 69% male, at a single center in Japan.
I
Intervention
Postoperative cardiac rehabilitation (CR) program including early mobilization, pulmonary rehabilitation, delirium prevention, aerobic exercises, resistance training, ADL training, and patient education
O
Outcome
Changes in quality of life (QOL) assessed by the EuroQol-5Dimension-5Level (EQ-5D-5L) index score over the period from hospitalization to 1 year post-dischargepatient reported

Quality of life generally improves up to 6 months post-discharge after cardiac and thoracic aortic surgery, but patients with lower preoperative ADL, hemoglobin, and cognitive function are at risk for QOL decline and may require ongoing comprehensive rehabilitation.

Limitations

  • relatively small sample size
  • potential selection bias
  • single institution
  • lack of preoperative QOL assessment

Cite This Study

Sato et al. (2024) studied this question.

synapsesocial.com/papers/6a1d15bc750575be8d2f2c5dhttps://doi.org/10.1186/s41687-024-00787-9
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