NDLI: Predictors of worsening of patients' quality of life six months after coronary artery bypass surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Peric, Vladan Borzanovic, Milorad Stolic, Radojica Jovanovic, Aleksandar Sovtic, Sasa Dimkovic, Sinisa Marcetic, Zoran
Description	Author Affiliation: Peric V ( Internal Clinic, School of Medicine, University of Pristina, Kosovska Mitrovica, Serbia. drperic@sbb.co.yu)
Abstract	BACKGROUND: The possibility to predict the change in (the) quality of life after coronary artery bypass surgery (CABG) being unclear, the aim was to evaluate the change of quality of life and predictors of worsening of quality of life in patients six months after CABG. METHODS: We studied 208 consecutive patients, who underwent elective CABG. The Nottingham Health Profile Questionnaire part 1 was used as the model for quality of life determination. The questionnaire contains 38 subjective statements divided into six sections: physical mobility, social isolation, emotional reaction, energy, pain, and sleep. We distributed the questionnaire to all patients before CABG and six months after CABG. One hundred ninety-two patients filled in the postoperative questionnaire. RESULTS: The comparison between mean preoperative and postoperative scores showed an improvement in all sections of quality of life (p < 0.001). New York Heart Association functional class was significantly improved after CABG (2.23 +/- 0.65 vs. 1.58 +/- 0.59, p<0.001). Independent predictors of patients worsened by CABG were as follows: female gender in the pain section (p = 0.002; OR = 4.27; CI 1.74-10.47), diabetes mellitus in the physical mobility section (p = 0.003; OR = 8.09; CI 2.04-32.09), low ejection fraction in the physical mobility (p = 0.047; OR = 0.73; CI 0.56-0.95) and emotional reaction (p = 0.03; OR = 0.86; CI 0.60-0.93) sections, and postoperative complications in the social isolation (p = 0.002; OR = 4.63; CI 1.79-11.99), sleep (p = 0.03; OR = 2.71; CI 1.12-6.51), and pain (p = 0.005; OR = 3.39; CI 1.45-7.97) sections. CONCLUSION: The predictive factors for quality of life worsening six months after CABG are female gender, diabetes mellitus, low ejection fraction, and the presence of postoperative complications.
File Format	HTM / HTML
ISSN	08860440
Issue Number	6
Volume Number	23
e-ISSN	15408191
Journal	Journal of Cardiac Surgery
Language	English
Publisher	Wiley
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Discipline Surgery Coronary Artery Bypass Coronary Artery Disease Surgery Quality Of Life Aged Confidence Intervals Adverse Effects Mortality Psychology Diabetes Complications Diagnosis Female Health Status Indicators Humans Male Middle Aged Odds Ratio Postoperative Complications Predictive Value Of Tests Prospective Studies Risk Assessment Risk Factors Sex Factors Stroke Volume Questionnaires Time Factors Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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