A1 Refereed original research article in a scientific journal

The prognostic significance of declining health-related quality of life scores at 6 months after coronary artery bypass surgery




AuthorsGunn JM, Lautamäki AK, Hirvonen J, Kuttila KT

Publication year2014

JournalQJM: An International Journal of Medicine

Journal acronymQJM

Volume107

Issue5

First page 369

Last page374

Number of pages6

ISSN1460-2725

DOIhttps://doi.org/10.1093/qjmed/hct256(external)


Abstract

Purpose: Health-related quality of life (HRQoL) measured on the EQ-5D (European quality of life-5 dimensions)-questionnaire has been shown to improve after coronary artery bypass grafting (CABG), this study investigated whether changes in HRQoL predict later morbidity.


METHODS:

Included were 404 consecutive patients undergoing isolated CABG between 2008 and 2010 who filled the EQ-5D-questionnaire at baseline and 6 months postoperatively. Records were reviewed for later major adverse cardiac and cerebrovascular events (MACCE) after 6 months. Follow-up was 38.6 months (10-58).


RESULTS:

Patients who suffered later MACCE more often had suffered an in-hospital postoperative stroke, had a longer in-hospital stay, had lower HRQoL scores at 6 months and deteriorated on several EQ-5D-subscales. Logistic regression showed 6 months visual analogue scale scores and declining function scores to be independent predictors of later MACCE.


CONCLUSION:

Deteriorating function and HRQoL-scores at 6 months as compared to baseline postoperatively predict later adverse cardiovascular events after CABG.




Last updated on 2024-26-11 at 18:52