Role of cardiovascular disorders in quality of life after total hip replacement

Abstract

This cohort, retrospective study, in the Jávorszky Ödön Hospital, Vác, Hungary, involved 109 patients after total hip replacement. The applied questionnaires included the EQ-5D health-related quality of life scores, the Western Ontario and McMaster Universities Ostoearthritis Index (WOMAC) scores, the preoperative and the postoperative 5th year health characteristics. The severity of co-morbidities was graded in respect of clinical signs and pharmacological treatment. The WOMAC values significantly improved in the examination period. However - in spite of the changes in EQ-5D -, it had no influence on adherence of feeling sick after total hip replacement. Among the co-morbidities, the cardiovascular diseases had a distinguished role because their prevalence and deterioration showed a close relationship with the subjective health-feeling of the patients. According to our study, we have to consider that in case of significant hypertension, ischemic heart diseases or chronic heart failure even the successful surgery will not improve the general sick-feeling of the patients.