Key result
Preoperative physical and mental status, marital status, prior AMI, postoperative CK-MB, and pleural drainage significantly predicted physical and mental health 6 months after CABG.
Why the study?
What are the preoperative and postoperative predictors of physical and mental health status 6 months after coronary artery bypass grafting?
Cohort (n=185)
What are the preoperative and postoperative predictors of physical and mental health status 6 months after coronary artery bypass grafting?
Answers are grounded in this paper and cite their sources.
Preoperative physical and mental status, along with specific clinical factors like prior MI and postoperative pleural drainage, significantly predict health-related quality of life 6 months after CABG.
BACKGROUND: Knowledge of predictors for health related quality of life (HRQoL) after coronary artery bypass grafting is limited. AIM: To identify preoperative and postoperative factors related to physical and mental health status 6 months after surgery. METHODS: 185 patients completed the Short Form-36 survey preoperatively and 6 months after surgery. Multiple linear regression was used to identify significant independent predictors for both physical and mental health component summary scores 6 months after surgery. RESULTS: Significant predictors for physical health were preoperative physical status (PCS), marital status, hospitalised with acute myocardial infarction and serum creatine kinase-MB (CK-MB) 1st postoperative day. Preoperative mental status (MCS and anxiety and/or depression symptoms) and postoperative pleural drainage were significant predictors of mental health 6 months after surgery. CONCLUSION: This study identified predictors that have an impact on CABG patients' HRQoL 6 months after surgery. These predictors could cause elevated risk for morbidity and mortality. Clinicians have the opportunity to improve the HRQoL of CABG patients by targeting counselling and/or interventions focusing on the identified predictors.
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Lie et al. (2010) conducted a cohort in Coronary Artery Bypass Grafting (n=185). Preoperative and postoperative clinical factors was evaluated on Physical and mental health component summary scores 6 months after surgery. Preoperative physical and mental status, marital status, prior AMI, postoperative CK-MB, and pleural drainage significantly predicted physical and mental health 6 months after CABG.
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