Abstract
BackgroundThe 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.MethodsConsecutive 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.Results210 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.ConclusionsOverall HRQOL in our sample improved from baseline to five years postoperatively. Further studies including larger patient groups are needed to confirm these findings.
Highlights
Improving or sustaining Health-related quality of life (HRQOL) is one of the main objectives of modern healthcare
Most health-related quality of life (HRQOL) indicators were significantly positively interrelated across the timepoints, except for the pre-operative role limitations due to emotional problems (RE), which was not linked to the RE at 5-year-follow-up
The results indicated significant (p < 0.001) positive changes in physical functioning (PF), mental health (MH), vitality (VT), and social functioning (SF) over time
Summary
Improving or sustaining Health-related quality of life (HRQOL) is one of the main objectives of modern healthcare. HRQOL incorporates the physical, psychological, and social domains of wellbeing as well as the effects of illness and treatment applied [1]. HRQOL as a measurable outcome is often considered to be one of the most important indicators of advancements in healthcare and disease management resulting in increased life. Measurement of health outcomes became as important as the patient’s ability to fulfill their psychological, and social. Among patients with advanced heart failure, surgical treatment might decrease or eliminate symptoms, and significantly improve physical functioning and decrease need for pharmacotherapy, leading to an improvement in overall wellbeing and quality of life [6]. 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
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