Title Long-term quality of life and posttraumatic stress following elective cardiac surgery: preliminary findings of a 5-year follow-up study /
Translation of Title Ilgalaikiai gyvenimo kokybės pokyčiai ir patiriamo streso reakcijos po planinių širdies operacijų: preliminarūs rezultatai praėjus penkeriems metams po operacijos.
Authors Gražulytė, Daiva ; Kazlauskas, Evaldas ; Norkienė, Ieva ; Kolevinskaitė, Smiltė ; Kezytė, Greta ; Urbanavičiūtė, Indrė ; Sabestinaitė, Akvilė ; Korsakaitė, Gintarė ; Želvienė, Paulina ; Ringaitienė, Donata ; Šostakaitė, Gintarė ; Šipylaitė, Jūratė
DOI 10.6001/actamedica.v26i1.3960
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Is Part of Acta medica Lituanica.. Vilnius : Lietuvos mokslų akademijos leidykla. 2019, vol. 26, no. 1, p. 87-92.. ISSN 1392-0138. eISSN 2029-4174
Keywords [eng] cardiac surgery ; health-related quality of life ; posttraumatic stress
Abstract [eng] Background. Heart surgery is a major stressful event that can have a significant negative effect on patients’ quality of life (QoL) and may cause long-term posttraumatic stress reactions. The aim of this pilot study was to estimate the longitudinal change and predictors of health-related quality of life (HRQOL) dynamics and identify factors associated with PTS at 5-year follow-up (T2) after elective cardiac surgery and associations with pre-surgery (T1) QoL. Materials and methods. Single-centre prospective study was conducted after Regional Bioethics Committee approval. Adult consecutive patients undergoing elective cardiac surgery were included. HRQOL was measured using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire before (T1) and 5-years after (T2) cardiac surgery. Posttraumatic stress was assessed using the International Trauma Questionnaire. Results. The pilot study revealed a significant positive change at 5-year follow-up in several domains of SF-36: physical functioning (PF), energy/fatigue (E/F), and social functioning (SF). Prolonged postoperative hospital stay was associated with change in SF (p < 0.01), E/F (p < 0.05) and emotional well-being (p < 0.05). The percentage of patients that had the posttraumatic stress disorder (PTSD) at T2 was 12.2%. Posttraumatic stress symptoms were associated with longer hospitalization after surgery (p < 0.01). Conclusions. HRQOL improved from baseline to five years postoperatively. Patients with lower preoperative HRQOL scores tended to have a more significant improvement of HRQOL five years after surgery. A prolonged postoperative hospital stay had a negative impact on postoperative social functioning, energy/fatigue, and emotional well-being. Increased levels of PTSD were found in cardiac surgery patients following five years after the surgery.
Published Vilnius : Lietuvos mokslų akademijos leidykla
Type Journal article
Language English
Publication date 2019
CC license CC license description