| Title |
Predictors of long-term HRQOL following cardiac surgery: a 5-year follow-up study / |
| Authors |
Gražulytė, Daiva ; Norkienė, Ieva ; Kazlauskas, Evaldas ; Truskauskaitė-Kunevičienė, Inga ; Kolevinskaitė, Smiltė ; Ringaitienė, Donata ; Šipylaitė, Jūratė |
| DOI |
10.1186/s12955-021-01838-1 |
| Full Text |
|
| Is Part of |
Health and quality of life outcomes.. London : BioMed Central. 2021, vol. 19, art. no.197, p. [1-8].. ISSN 1477-7525. eISSN 1477-7525 |
| Keywords [eng] |
cardiac surgery ; health‑related quality of life ; risk factors ; long‑term |
| Abstract [eng] |
Background The study aimed to evaluate the long-term change of health-related quality of life (HRQOL) and to identify predictors of HRQOL 5 years after cardiac surgery. Methods Consecutive adult patients, undergoing elective cardiac surgery were enrolled in the study. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before and 5-years after cardiac surgery. A multivariate latent change modeling approach was used for data analysis. Results 210 participants (30.5% female) were reached at 5-year follow-up and included in final data analysis. The study revealed, after controlling for gender effects, a significant long-term positive change, in physical functioning (PF, Mslope = 19.79, p < 0.001), social functioning (SF, Mslope = 17.27, p < 0.001), vitality (VT, Mslope = 6.309, p < 0.001) and mental health (MH, Mslope = 8.40, p < .001) in the total sample. Lower education was associated with an increase in PF (Mslope = 24.09, p < 0.001) and VT (Mslope = 8.39, p < 0.001), more complicated surgery (other than the coronary artery bypass graft (CABG) predicted increase in general health (GH, Mslope = 6.76, p = 0.005). Arrhythmia was a significant predictor for lower pre- and post-operative VT and SF. Conclusions Overall HRQOL in our sample improved from baseline to five years postoperatively. Further studies including larger patient groups are needed to confirm these findings. |
| Published |
London : BioMed Central |
| Type |
Journal article |
| Language |
English |
| Publication date |
2021 |
| CC license |
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