Sage Journals: Discover world-class research

Abstract

Background: Knowledge of predictors for health related quality of life (HRQoL) after coronary artery bypass grafting is limited.

Aim: To identify preoperative and postoperative factors related to physical and mental health status 6 months after surgery.

Methods: 185 patients completed the Short Form-36 survey preoperatively and 6 months after surgery. Multiple linear regression was used to identify significant independent predictors for both physical and mental health component summary scores 6 months after surgery.

Results: Significant predictors for physical health were preoperative physical status (PCS), marital status, hospitalised with acute myocardial infarction and serum creatine kinase-MB (CK-MB) 1st postoperative day. Preoperative mental status (MCS and anxiety and/or depression symptoms) and postoperative pleural drainage were significant predictors of mental health 6 months after surgery.

Conclusion: This study identified predictors that have an impact on CABG patients' HRQoL 6 months after surgery. These predictors could cause elevated risk for morbidity and mortality. Clinicians have the opportunity to improve the HRQoL of CABG patients by targeting counselling and/or interventions focusing on the identified predictors.

Keywords

Get full access to this article

View all access options for this article.

References

[2]

Stanek

E.J.

Oates

M.B.

McGhan

W.F.

Denofrio

Loh

Preferences for treatment outcomes in patients with heart failure: symptoms versus survival

J Card Fail 6 2000 225–232

[3]

Lindsay

G.M.

Hanlon

Smith

L.N.

Wheatley

D.J.

Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting

Eur J Cardiothorac Surg 18 2000 557–564

[4]

Rumsfeld

J.S.

Magid

D.J.

O'Brien

McCarthy

Jr. MaWhinney

Changes in health-related quality of life following coronary artery bypass graft surgery

Ann Thorac Surg 72 2001 2026–2032

[5]

Rumsfeld

J.S.

P.M.

Magid

D.J.

McCarthy

Jr. Shroyer

A.L.

MaWhinney

Predictors of health-related quality of life after coronary artery bypass surgery

Ann Thorac Surg 77 2004 1508–1513

[6]

Al-Ruzzeh

Athanasiou

Mangoush

Wray

Modine

George

Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery

Heart 91 2005 1557–1562

[7]

Lie

Arnesen

Sandvik

Hamilton

Bunch

E.H.

Effects of a home-based intervention program on anxiety and depression 6 months after coronary artery bypass grafting: a randomized controlled trial

J Psychosom Res 62 2007 411–418

10.

11.

[11]

Lunde

Solheim

Aakhus

Arnesen

Moum

Abdelnoor

Exercise capacity and quality of life after intracoronary injection of autologous mononuclear bone marrow cells in acute myocardial infarction: results from the Autologous Stem cell Transplantation in Acute Myocardial Infarction (ASTAMI) randomized controlled trial

Am Heart J 154 2007 710–718

12.

13.

14.

[14]

Ware

J.E.

Jr. Gandek

Kosinski

Aaronson

N.K.

Apolone

Brazier

The equivalence of SF-36 summary health scores estimated using standard and country-specific algorithms in 10 countries: results from the IQOLA Project. International Quality of Life Assessment

J Clin Epidemiol 51 1998 1167–1170

15.

[15]

Peric

V.M.

Borzanovic

M.D.

Stolic

R.V.

Jovanovic

A.N.

Sovtic

S.R.

Severity of angina as a predictor of quality of life changes six months after coronary artery bypass surgery

Ann Thorac Surg 81 2006 2115–2120

16.

[16]

Rumsfeld

J.S.

MaWhinney

McCarthy

Jr. Shroyer

A.L.

VillaNueva

C.B.

O'Brien

Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery

JAMA 281 1999 1298–1303

17.

[17]

Thompson

P.D.

Buchner

Pina

I.L.

Balady

G.J.

Williams

M.A.

Marcus

B.H.

Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity)

Circulation 107 2003 3109–3116

18.

[18]

Barry

L.C.

Kasl

S.V.

Lichtman

Vaccarino

Krumholz

H.M.

Social support and change in health-related quality of life 6 months after coronary artery bypass grafting

J Psychosom Res 60 2006 185–193

19.

[19]

Berkman

L.F.

The role of social relations in health promotion

Psychosom Med 57 1995 245–254

20.

[20]

McHugh

Lindsay

G.M.

Hanlon

Hutton

Brown

M.R.

Morrison

Nurse led shared care for patients on the waiting list for coronary artery bypass surgery: a randomised controlled trial

Heart 86 2001 317–323

21.

[21]

Arthur

H.M.

Daniels

McKelvie

Hirsh

Rush

Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized, controlled trial

Ann Intern Med 133 2000 253–262

22.

[22]

Graham

Ingram

Fallon

Leong

Gormley

O'Doherty

Rehabilitation of the patient with coronary heart disease

Fuster

Hurst JW

Walsh R.A.

O'Rourke RA

Poole-Wilson P.A.

Hurst's the heart 12th ed 2008

McGraw-Hill

New York

1529–1548

23.

[23]

Carroll

D.L.

Rankin

S.H.

Cooper

B.A.

The effects of a collaborative peer advisor/advanced practice nurse intervention: cardiac rehabilitation participation and rehospitalization in older adults after a cardiac event

J Cardiovasc Nurs 22 2007 313–319

24.

25.

[25]

Costa

M.A.

Carere

R.G.

Lichtenstein

S.V.

Foley

D.P.

de Valk

Lindenboom

Incidence, predictors, and significance of abnormal cardiac enzyme rise in patients treated with bypass surgery in the arterial revascularization therapies study (ARTS)

Circulation 104 2001 2689–2693

26.

[26]

Brener

S.J.

Lytle

B.W.

Schneider

J.P.

Ellis

S.G.

Topol

E.J.

Association between CK-MB elevation after percutaneous or surgical revascularization and three-year mortality

J Am Coll Cardiol 40 2002 1961–1967

27.

[27]

Ramsay

Shernan

Fitch

Finnegan

Todaro

Filloon

Increased creatine kinase MB level predicts postoperative mortality after cardiac surgery independent of new Q waves

J Thorac Cardiovasc Surg 129 2005 300–306

28.

[28]

Tully

P.J.

Baker

R.A.

Knight

J.L.

Anxiety and depression as risk factors for mortality after coronary artery bypass surgery

J Psychosom Res 64 2008 285–290

29.

[29]

Szekely

Balog

Benko

Breuer

Szekely

Kertai

M.D.

Anxiety predicts mortality and morbidity after coronary artery and valve surgery—a 4-year follow-up study

Psychosom Med 69 2007 625–631

30.

[30]

Blumenthal

J.A.

Lett

H.S.

Babyak

M.A.

White

Smith

P.K.

Mark

D.B.

Depression as a risk factor for mortality after coronary artery bypass surgery

Lancet 362 2003 604–609

31.

[31]

Murphy

B.M.

Elliott

P.C.

Higgins

R.O.

Le Grande

M.R.

Worcester

M.U.

Goble

A.J.

Anxiety and depression after coronary artery bypass graft surgery: most get better, some get worse

Eur J Cardiovasc Prev Rehabil 15 2008 434–440

32.

33.

[33]

Light

R.W.

Pleural effusions after coronary artery bypass graft surgery

Curr Opin Pulm Med 8 4 2002 308–311

34.

[34]

Jensen

Yang

Risk factors for postoperative pulmonary complications in coronary artery bypass graft surgery patients

Eur J Cardiovasc Nurs 6 2007 241–246

Predictors for Physical and Mental Health 6 Months After Coronary Artery Bypass Grafting A Cohort Study

Abstract

Keywords

Get full access to this article

References