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Quality of Life After Elective Cardiac Surgery in Elderly Patients

2019Journal article Open access
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dc.contributor.authorCoelho, P
dc.contributor.authorMiranda, L
dc.contributor.authorBarros, P
dc.contributor.authorFragata, J
dc.date.accessioned2019-11-27T15:52:26Z
dc.date.available2019-11-27T15:52:26Z
dc.date.issued2019
dc.description.abstractOBJECTIVES: Cardiac surgery has little effect on life expectancy in elderly patients. Thus, improving the quality of life should be the main factor affecting therapeutic decisions. Most studies on quality of life in elderly patients undergoing cardiac surgery report improvement but have limitations. Consequently, we assessed improvements in the quality of life of elderly patients undergoing elective cardiac surgery, identified influencing variables and established patterns of mental and physical health variations in the first year postoperatively. METHODS: We conducted a prospective study of patients aged 65 or older who underwent elective cardiac surgery between September 2011 and August 2013. The 36-item Short Form (SF-36) surveys were obtained preoperatively and at 3, 6 and 12 months postoperatively. RESULTS: The 430 preoperative patients with a mean age of 74 years (SD 5.5 years) comprised 220 men. Most physical health improvements occurred within 3 months and continued to improve significantly until 12 months. Predictive variables for patients showing less improvement were poor preoperative physical health, female sex, older age and longer length of hospital stay. Mental health improved significantly through the third postoperative month. The negative predictive variables were poor preoperative mental health and longer intensive care unit stay. CONCLUSIONS: Most patients improved both physically and mentally after surgery, and most of the improvement occurred within 3 months post-surgery. These improvement patterns should be taken into account when creating rehabilitation programmes, and patients should be counselled on what improvements can be expected during the first 12 months after surgery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInteract Cardiovasc Thorac Surg. 2019 Feb 1;28(2):199-205.pt_PT
dc.identifier.doi10.1093/icvts/ivy235pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3372
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.subjectAgedpt_PT
dc.subjectCardiac Surgical Procedurespt_PT
dc.subjectElective Surgical Procedurespt_PT
dc.subjectFemalept_PT
dc.subjectHeart Diseasespt_PT
dc.subjectHumanspt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectLength of Staypt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPostoperative Periodpt_PT
dc.subjectProspective Studiespt_PT
dc.subjectSurveys and Questionnairespt_PT
dc.subjectQuality of Lifept_PT
dc.subjectHSM CCTpt_PT
dc.titleQuality of Life After Elective Cardiac Surgery in Elderly Patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage205pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage199pt_PT
oaire.citation.titleInteractive Cardiovascular and Thoracic Surgerypt_PT
oaire.citation.volume28pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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