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©The Author(s) 2024.
World J Cardiol. Aug 26, 2024; 16(8): 436-447
Published online Aug 26, 2024. doi: 10.4330/wjc.v16.i8.436
Published online Aug 26, 2024. doi: 10.4330/wjc.v16.i8.436
Table 1 Characteristics of studies that evaluated patient outcomes after coronary artery bypass grafting and other cardiac surgery
Ref. | Study design | Purpose | Population (n) | Male/female; age in yr | Cardiopulmonary bypass time in min/X-clamp time in min | Intervention | Outcomes | Main results |
Deschka et al[11], 2013 | Observational study | To assess survival, functional capacity, and QoL 1 year after cardiac surgery | CABG, HVS, combined procedures, aortic surgery, miscellaneous, emergency procedures (119) | 84/35; 72.2 ± 9.3 | NA | Barthel mobility index, SF-12 questionnaire | Long-term ICU treatment after cardiac surgery is related to a high in-hospital and follow-up mortality | In-hospital: Mortality was 36.1%, 1-year overall survival was 46.2%, and 1-year survival of the discharged patients was 72.4%. Preoperative Barthel mobility index was 94.7% ± 13.9% vs 85.2% ± 23.0% postoperatively. QoL was comparable with the normative population |
Peric et al[49], 2015 | Observational study | To evaluate the changes in QoL 6 months after CABG surgery related to the patients’ age | CABG (226) | 181/45; 58.3 ± 8.3/61.6 ± 6.1 | On pump procedure | NHP questionnaire part 1 before and 6 months after surgery | Improvement of QoL after 6 months in older patients. Age is not an independent predictor of QoL deterioration after CABG | Before CABG elderly patients had worse QoL in sections of PM (r = 0.22, P = 0.001), SI (r = 0.16, P = 0.009) and En (r = 0.23, P = 0.001). After 6 months, patients group < 50 years improved in sections of PM, En, pain, and sleep. Group 60-69 years improved in all sections. Group 50-59 years and ≥ 70 years also improved in all sections except SI and sleep respectively. There was a significant relationship between patient’s age and improvement of QoL in sections of PM (r = 0.18, P = 0.008), SI (r = 0.17, P = 0.01) and En (r = 0.21, P = 0.002) |
Westerdahl et al[51], 2016 | Prospective study | To investigate pulmonary function and HRQoL 1 year after cardiac surgery | CABG, HVS, or combined surgery (150) | 123/27; 66 ± 9 | 112 ± 53/84 ± 46 | SF-36 questionnaire, pulmonary function measurements | HRQoL improved in comparison to preoperative values. Static and dynamic lung function measurements slightly decreased, levels of pain were low, and saturation of peripheral oxygen was same as preoperatively | HRQoL improved in all 8 aspects of SF-36 (P < 0.001). FVC decreased by 4%-5% compared to preoperative values (P < 0.05). Sternotomy-related pain at rest was 0 (0-7), at deep breath 0 (0-4) and at coughing 0 (0-8) |
Gjeilo et al[12], 2018 | Prospective, observational cohort study | To assess survival, functional status, and HRQoL 10 years after cardiac surgery | Isolated CABG, HVS, CABG with HVS, miscellaneous (274) | 228/46; 64.1 ± 9.9 | 64.0 (range: 16.0-206)/40.0 (5.0-180.0) | SF-36 questionnaire NYHA classification | HRQoL and function improved from before to 10 years after cardiac surgery, also for older patients | Total survival at 10 years was 67.8%. HRQoL improved compared with baseline in 7 of 8 SF-36 subscales. Older patients improved less than younger patients (3 of 8 SF-36 subscales were worse). NYHA classification improved also among older patients (from 59% in NYHA class III/IV at baseline to 30.3% after 10 years, P < 0.013) |
Joskowiak et al[39], 2022 | Prospective cohort study | To assess HRQoL change within 12 months after cardiac surgery and to identify predictors of deterioration in physical and mental health | CABG, AVR, CABG and AVR, aortic surgery, other surgery, redo surgery (164) | 123/41; 70 (range: 62-76) | 122.9 ± 37.4/81.8 ± 27.6 | SF-36 questionnaire upon admission and at 3 months and 12 months after surgery | Gradual improvement of physical and mental health status | PCS score increased from 40.1 (range: 31.9-49.9) before surgery to 46.3 (37.0-52.4) at 3 months and 52.4 (46.4-56.3) at 12 months after surgery. The MCS score increased from 48.8 (38.6-55.3) at baseline to 50.9 (38.9-57.2) at 3 months and 53.1 (42.0-57.8) at 12 months after surgery. Up to 7.9% and 21.2% of patients had poorer PCS and MCS scores respectively at 12 months. Predictors of deterioration in postoperative HRQoL are preoperative health status, age < 70 years, CABG and a previous neurological event |
Muthukrishnan et al[50], 2023 | Prospective cohort study | To determine the QoL 3 months after CABG surgery | CABG (200) | 184/16; 55 (12.5) | SF-36 questionnaire and STAI scale 2 days before and 3 months after CABG surgery | Improvement in physical health. Preoperative anxiety was a significant predictor of physical health | PCS score was 34.57 ± 9.6 preoperative vs 43.53 ± 7 postoperative. MCS score respectively was 54.87 ± 1.19 vs 51.65 ± 9.67. Perception of low physical health QoL was due to preoperative anxiety (β = 0.535, t = 8.433, P < 0.001) |
- Citation: Raidou V, Mitete K, Kourek C, Antonopoulos M, Soulele T, Kolovou K, Vlahodimitris I, Vasileiadis I, Dimopoulos S. Quality of life and functional capacity in patients after cardiac surgery intensive care unit. World J Cardiol 2024; 16(8): 436-447
- URL: https://www.wjgnet.com/1949-8462/full/v16/i8/436.htm
- DOI: https://dx.doi.org/10.4330/wjc.v16.i8.436