What question did this study set out to answer?

To assess health-related quality of life trajectories in women during the first year following an acute cardiac event compared with age-weighted population norms, evaluating the effects of age, event type, and cardiac rehabilitation.

February 1, 2007British Journal of Health PsychologyOpen Access

Trajectories of recovery of quality of life in women after an acute cardiac event

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Why the study?

What is the trajectory of recovery of health-related quality of life in women during the first year after an acute myocardial infarction or coronary artery bypass graft surgery?

Population

229 women aged 36 to 84 years consecutively admitted to 4 hospitals after acute myocardial infarction or to…

Design

Cohort

Follow-up

12 months

Authors

MWMarian Una Christine WorcesterMonash University BMBarbara MurphyMercy University PEPeter C. ElliottMental Health Australia

Discussion

Member takes

Implication

May inform counseling on expected recovery in women post-event; extends female-specific data but leaves open intervention effects.

Key Points

To assess health-related quality of life trajectories in women during the first year following an acute cardiac event compared with age-weighted population norms, evaluating the effects of age, event type, and cardiac rehabilitation.
Prospective cohort of N=229 women aged 36 to 84 years consecutively admitted to 4 hospitals following acute myocardial infarction or coronary artery bypass graft surgery.
Health-related quality of life was assessed across 4 time points over a 12-month follow-up period using the SF-36 health survey.
Growth trajectories were modeled using Mplus and subscale scores were compared against age-weighted Australian female population norms.
Most quality-of-life recovery occurred within the first 2 months; bodily pain and mental health reached normative levels by 2 months, whereas physical functioning and role limitations normalized by 12 months.
Coronary artery bypass graft surgery patients exhibited greater net improvement across multiple domains than acute myocardial infarction patients, primarily due to lower baseline functioning.
Rate of improvement was not significantly influenced by patient age or frequency of cardiac rehabilitation attendance.

Structured PICO

What is the trajectory of recovery of health-related quality of life in women during the first year after an acute myocardial infarction or coronary artery bypass graft surgery?

Population

229 women aged 36 to 84 years consecutively admitted to 4 hospitals after acute myocardial infarction (AMI) or to undergo coronary artery bypass graft surgery (CABGS).

Comparator

Age-weighted Australian population norms

Outcome

Health-related quality of life (HRQoL) measured by the short form 36-item health survey (SF-36) at 4 time points over 12 monthspatient reported

Women experience significant impairment in HRQoL immediately following an acute cardiac event, but most recover to population norms within 12 months, with the majority of improvement occurring in the first 2 months.

Cite This Study

Worcester et al. (2007) studied this question.

synapsesocial.com/papers/6a711e8535aa2c282ce27069 https://doi.org/10.1348/135910705x90127

Topics

Women and heart disease

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Trajectories of recovery of quality of life in women after an acute cardiac event

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Trajectories of recovery of quality of life in women after an acute cardiac event

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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