| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1999;68:1314-1320
© 1999 The Society of Thoracic Surgeons
a Departments of Department of Cardiac Surgery, Los Angeles, California, USA
b Department of Cardiology, Kaiser Permanente Medical Center, Los Angeles, California, USA
Address reprint requests to Dr Yun, Department of Cardiac Surgery, Southern California Permanente Medical Group, 1526 North Edgemont St, 3rd Floor, Los Angeles, CA 90027
e-mail: kwok.l.yun{at}kp.org
Background. Due to improved operative techniques, myocardial preservation, and perioperative care, open heart procedures are now being performed in older and sicker patients. As a result, the quality of life has become an important issue in the decision making process.
Methods. Between January 1993 and October 1994, 604 patients above 65 years of age who underwent non-emergent open heart operations were followed prospectively over a 2-year period. The Health Status Questionnaire forms were distributed to all patients preoperatively and to hospital survivors at 3, 12, and 24 months. The questionnaire contains 36 questions and is divided into eight categories. Follow-up was 100% complete with 99.6% of questionnaires returned.
Results. Significant quality of life improvements were noted in all categories after surgery. After reaching a peak at 12 months, there were small, but significant declines in scores relating to physical health and health perception at 24 months. In contrast, measurements for mental attributes continued to increase with time. By multivariate analysis, diabetes, older age, and female gender had a relatively adverse influence on quality of life despite improvement after operation. Similarly, patients with chronic obstructive pulmonary disease or having redo operations had lower health perception with some physical limitations. While procedure type (coronary artery bypass grafting) was associated with preoperative bodily pain, congestive heart failure symptoms were not an independent factor affecting quality of life.
Conclusions. Quality of life improves with cardiac surgical interventions in this studied age group and should not be denied even in the elderly population.
This article has been cited by other articles:
|
|
 |
|
  A. Szekely, P. Balog, E. Benko, T. Breuer, J. Szekely, M. D. Kertai, F. Horkay, M. S. Kopp, and J. F. Thayer Anxiety Predicts Mortality and Morbidity After Coronary Artery and Valve Surgery A 4-Year Follow-Up Study Psychosom Med, September 1, 2007; 69(7): 625 - 631. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Loponen, M. Luther, J.-O. Wistbacka, K. Korpilahti, J. Laurikka, H. Sintonen, H. Huhtala, and M. R. Tarkka Quality of life during 18 months after coronary artery bypass grafting Eur. J. Cardiothorac. Surg., July 1, 2007; 32(1): 77 - 82. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. H. Huber, V. Goeber, P. Berdat, T. Carrel, and F. Eckstein Benefits of cardiac surgery in octogenarians -- a postoperative quality of life assessment Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1099 - 1105. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. Graham, C. M. Norris, P. D. Galbraith, M. L. Knudtson, W. A. Ghali, and for the APPROACH Investigators Quality of life after coronary revascularization in the elderly Eur. Heart J., July 2, 2006; 27(14): 1690 - 1698. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. W. Thornton, C. Groom, B. M. Fabri, M. A. Fox, C. Hallas, and M. Jackson Quality of life outcomes after coronary artery bypass graft surgery: Relationship to neuropsychologic deficit J. Thorac. Cardiovasc. Surg., October 1, 2005; 130(4): 1022 - 1027. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I Florath, A Albert, U Rosendahl, T Alexander, I C Ennker, and J Ennker Mid term outcome and quality of life after aortic valve replacement in elderly people: mechanical versus stentless biological valves Heart, August 1, 2005; 91(8): 1023 - 1029. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Jarvinen, J. Julkunen, T. Saarinen, J. Laurikka, and M. R. Tarkka Effect of Diabetes on Outcome and Changes in Quality of Life After Coronary Artery Bypass Grafting Ann. Thorac. Surg., March 1, 2005; 79(3): 819 - 824. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T Win, L Sharples, F C Wells, A J Ritchie, H Munday, and C M Laroche Effect of lung cancer surgery on quality of life Thorax, March 1, 2005; 60(3): 234 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. G. Koch, F. Khandwala, J. B. Cywinski, H. Ishwaran, F. G. Estafanous, F. D. Loop, and E. H. Blackstone Health-related quality of life after coronary artery bypass grafting: A gender analysis using the Duke Activity Status Index J. Thorac. Cardiovasc. Surg., August 1, 2004; 128(2): 284 - 295. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Rumsfeld, P. M. Ho, D. J. Magid, M. McCarthy Jr, A. L. W. Shroyer, S. MaWhinney, F. L. Grover, and K. E. Hammermeister Predictors of health-related quality of life after coronary artery bypass surgery Ann. Thorac. Surg., May 1, 2004; 77(5): 1508 - 1513. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Manku and J. M. Leung Prognostic Significance of Postoperative In-Hospital Complications in Elderly Patients. II. Long-Term Quality of Life Anesth. Analg., February 1, 2003; 96(2): 590 - 594. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Handy Jr, J. W. Asaph, L. Skokan, C. E. Reed, S. Koh, G. Brooks, E. C. Douville, A. C. Tsen, G. Y. Ott, and G. A. Silvestri What Happens to Patients Undergoing Lung Cancer Surgery?* : Outcomes and Quality of Life Before and After Surgery Chest, July 1, 2002; 122(1): 21 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Rumsfeld, D. J. Magid, M. O'Brien, M. McCarthy Jr, S. MaWhinney, A. L. W. Shroyer, T. E. Moritz, W. G. Henderson, G. K. Sethi, F. L. Grover, et al. Changes in health-related quality of life following coronary artery bypass graft surgery Ann. Thorac. Surg., December 1, 2001; 72(6): 2026 - 2032. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
