Key result
Negative illness perception (P<0.01), higher BMI (P=0.026), and higher EuroSCORE (P=0.012) were significantly associated with worse patient-reported General Health 3 months after cardiac surgery.
Why the study?
Patient-reported health status is a key cardiovascular outcome, motivating the assessment of patient-reported health and its determinants following cardiac surgery.
What are the predictors of patient-reported health following cardiac surgery?
Cross-Sectional (n=128)
What are the predictors of patient-reported health following cardiac surgery?
Modifiable factors, particularly illness perception, are important determinants of patient-reported health after cardiac surgery, suggesting that addressing patient concerns could improve outcomes.
Screening for negative illness perception may flag at-risk cardiac surgery patients; leaves open whether targeted interventions improve recovery.
BACKGROUND: Patient-reported health status is one of the most important aspects of cardiovascular outcomes. The aim of this study was to assess patient-reported health and its determinants following cardiac surgery. METHODS: Cross-sectional study was performed among 128 patients (mean age: 66.02; 35.9% women). Three months after surgery patients filled in The Short Form 12 Health Survey (SF-12) and Brief-Illness Perception Questionnaire (B-IPQ). Patient-reported health was assessed using SF-12 General Health component. RESULTS: The mean General Health score was 47.34 (SD=20.94). General Health was significantly positively correlated with SF-12 Physical and Mental Component Summary (P<0.01). Significant negative correlations were noted between General Health and European System for Cardiac Operative Risk Factor (EuroSCORE) (P=0.012) and Body Mass Index (BMI) (P=0.026). Higher scores on B-IPQ Consequences, Timeline, Identity, Emotional Response (P<0.01) and Concern (P=0.03) were related to worse General Health. Higher perceived effectiveness of surgery (P<0.01) and Treatment control (P=0.003) were associated with higher General Health score. More negative illness perception was significantly related to lower General Health (P<0.01). No significant associations between General Health and mode and weight of the procedure, myocardial infarction, previous percutaneous coronary intervention, New York Heart Association (NYHA) and Canadian Cardiovascular Society (CCS) class and postsurgical complications were noted. Structural equation modeling (SEM) revealed that illness perception domains, BMI and EuroSCORE are the main determinants of General Health. CONCLUSIONS: Modifiable factors, especially illness perception are important determinants of patient-reported health after cardiac surgery. Evaluation of illness perception seems vital since it may lead to address patients' concerns and improve outcomes.
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Jarmoszewicz et al. (2021) conducted a cross-sectional in cardiac surgery (n=128). Illness perception, BMI, and EuroSCORE was evaluated on SF-12 General Health component score. Negative illness perception (P<0.01), higher BMI (P=0.026), and higher EuroSCORE (P=0.012) were significantly associated with worse patient-reported General Health 3 months after cardiac surgery.
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