Key result
Higher preoperative physical component summary scores were significantly associated with an increased risk of non-improvement in health-related quality of life one year after elective heart surgery.
Why the study?
This study evaluated differences in preoperative and postoperative health-related quality of life among patients undergoing heart surgery and observed factors influencing quality of life changes.
Does heart surgery improve health-related quality of life at 1 year, and does age affect the degree of improvement?
Observational (n=140)
No
Does heart surgery improve health-related quality of life at 1 year, and does age affect the degree of improvement?
Heart surgery significantly improves health-related quality of life at 1 year, with elderly patients experiencing similar benefits to younger patients despite higher baseline risks.
Answers are grounded in this paper and cite their sources.
May identify patients unlikely to gain HRQoL after elective heart surgery; leaves open need for prospective validation and targeted interventions.
This study evaluates the differences in preoperative and postoperative health-related quality of life of the patients following heart surgery and observed the factors that influence quality of life changes. This prospective observational study involved two parameters from the SF-36 questionnaire before and one year after heart surgery in a single surgeon’s practice. At the baseline assessment of the study observed 140 patients, predominantly were male in both study groups. The mean age was 56.8 ± 4.2 years, 64.7 ± 7.4 years in Group of patients age ≤ 60 years and age >60 year’s respectively. In elderly aged group, patients have greater risk of co-morbidity, operative complications, and low preoperative as well as postoperative quality of life score. There was an overall improvement in all majority health domains of the SF-36 questionnaire among study population. Statistical results from Logistic multivariate analysis demonstrates a greater value of preoperative mental component summary scores (p=0.08), and physical component summary scores (p=0.01) as potential risk factors for non-improvement following heart surgery. Although, elderly patients (age >60 year’s) with greater operative risk have low preoperative quality of life score, but demonstrate an equal improvement in most of the health domains following heart surgery as like as younger study population.
No takes yet. Share an insight, caveat, or question.
Ranjan et al. (2019) conducted an observational in Elective heart surgery (n=140). Higher preoperative physical component summary (PCS) score vs. Lower preoperative PCS score was evaluated on Non-improvement in health-related quality of life (SF-36 score difference ≤0) 1 year after surgery (OR 1.04, 95% CI 1.01-1.06, p=0.0191). Higher preoperative physical component summary scores were significantly associated with an increased risk of non-improvement in health-related quality of life one year after elective heart surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: