| Abstract [eng] |
Cardiac surgery is a highly stressful life situation, which can lead to long-term posttraumatic stress reactions, affecting quality of life, cognitive function and psychological well-being. The aim of our study was to identify the impact of perioperative and psychosocial risk factors on quality of life and long-term stress reactions in patients after cardiac surgery. Our results showed an improvement in quality of life from baseline to five years after cardiac surgery. In addition, patients with lower overall quality of life scores before surgery experienced a greater improvement. Female gender, higher education and preoperative arrhythmia had a negative impact on quality of life over the 5-year period. In contrast, older age and higher operative risk did not affect quality of life at the 5-year follow-up. The prevalence of stress reactions in the cardiac surgery population was low, with only 1.9 % of patients meeting the diagnostic criteria for probable cardiac surgery-related PTSD and 3.3 % meeting the diagnostic criteria for probable cardiac surgery-related CPTSD five years after surgery. Female gender, higher EuroScore operative risk and lower quality of life indicators were identified as risk factors for PTSD or CPTSD. Five years after cardiac surgery, patients with PTSD or CPTSD were found to have worse quality of life. |
