Key result
Cardiac surgery in 126 high-risk patients significantly improved the majority of SF-36 quality of life dimensions, except mental health, at 12 months post-operation.
Why the study?
Does cardiac surgery improve quality of life in high-risk patients?
Observational (n=126)
Does cardiac surgery improve quality of life in high-risk patients?
Cardiac surgery in high-risk patients significantly improves most dimensions of patient-reported quality of life at one year, suggesting benefits beyond mere survival.
Answers are grounded in this paper and cite their sources.
May support QoL gains beyond survival after cardiac surgery in high-risk patients; hypothesis-generating and requires randomized confirmation.
BACKGROUND: Conventionally, there is controversy over subjecting high-risk patients to cardiac operations, due to major postoperative complications. Higher survival rates and less morbidity as well as better quality of life can be good predictors of the outcome of surgery. This study evaluates the quality of life before and 12 months after cardiac operations on high-risk patients. METHODS: In this study, the European System for Cardiac Operative Risk Evaluation (EuroSCORE) II was used to separate high-risk patients from others. The quality of life was assessed using the Medical Outcomes Study 36-item Short Form Health Survey (SF-36) before surgery and one year afterward. Based on SF-36, the score for each of the eight different dimensions of the quality of life was quantified; and, their differences between pre-surgery and post-follow up period were analyzed. RESULTS: 126 high-risk patients were included in this study. The mean age of the patients was 64.29 ± 12.35 years. The median of EuroSCORE II score in these cases was 6.83 (6.04-25.98). The results reveal that the majority of the quality of life dimensions, except mental health, improved significantly after the follow-up period. CONCLUSION: Cardiac surgery on high-risk patients can noticeably promote the different aspects of their quality of life; although, such improvements should be considered against surgical complications.
No takes yet. Share an insight, caveat, or question.
Tafti et al. (2015) conducted an observational in High-risk patients requiring cardiac surgery (n=126). Cardiac surgery vs. Pre-surgery baseline was evaluated on Quality of life (SF-36 score across eight dimensions). Cardiac surgery in 126 high-risk patients significantly improved the majority of SF-36 quality of life dimensions, except mental health, at 12 months post-operation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: