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March 11, 2014Journal of Cardiothoracic Surgery66 citationsOpen Access

Health-related quality of life after cardiac surgery – the effects of age, preoperative conditions and postoperative complications

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Why the study?

Does cardiac surgery improve health-related quality of life similarly in older versus younger patients?

Population

310 patients undergoing cardiac surgery, mean age 65 years, 69% male. 101 patients were older than 70 years.

Comparison

Cardiac surgery vs Younger patients vs older patients

Design

Cohort

Follow-up

1 year

Key result

Higher preoperative Physical Component Summary scores were identified as a significant risk factor for non-improvement of health-related quality of life 1 year after cardiac surgery (OR 1.03).

Authors

VKVojtěch KurfirstAMAleš MokráčekMKMartina Krupauerová

Discussion

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Overview

May identify patients with limited HRQOL gains post-surgery; leaves open need for prospective validation before guiding decisions.

Study Design

Type

Observational (n=310)

Multicenter

No

Structured PICO

Does cardiac surgery improve health-related quality of life similarly in older versus younger patients?

P
Population
310 patients undergoing elective cardiac surgery, predominantly male with a mean age of 65 years, followed for 1 year to assess changes in health-related quality of life.
E
Exposure
Cardiac surgery
C
Comparator
Younger patients (≤70 years) vs older patients (>70 years)
O
Outcome
Health-related quality of life (HRQOL) measured by the SF-36 questionnaire at 1 year after surgerypatient reported

Older patients with higher operative risk experience similar improvements in health-related quality of life after cardiac surgery compared to younger patients.

Main Result

Odds Ratio: 1.03 (95% CI 1–1.05)

p-value: p=0.0187

Limitations

  • Small size of the study population (310 patients)
  • Follow-up period limited to 1 year

Cite This Study

Kurfirst et al. (2014) conducted an observational in Cardiac surgery (n=310). Higher preoperative Physical Component Summary (PCS) score vs. Lower preoperative PCS score was evaluated on Non-improvement of health-related quality of life after cardiac surgery (OR 1.03, 95% CI 1.00-1.05, p=0.0187). Higher preoperative Physical Component Summary scores were identified as a significant risk factor for non-improvement of health-related quality of life 1 year after cardiac surgery (OR 1.03).

synapsesocial.com/papers/6a5037558f239ce945896d95https://doi.org/10.1186/1749-8090-9-46
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