A J Lloyd1, J Boyle, P R Bell, M M Thompson. 1. Oxford Centre for Health Care Research and Development, Oxford Brookes University, Oxford and Department of Surgery, Leicester University, Leicester, UK.
Abstract
INTRODUCTION: The long-term effects of endovascular aortic aneurysm repair on cognitive function and quality of life are not known. METHODS: The cognitive function and quality of life of 82 patients undergoing aortic aneurysm repair (34 endovascular and 48 conventional procedures) were assessed before and 6 months after operation. Cognitive function was quantified using a battery of psychometric tests. Quality of life was assessed with the Medical Outcomes Short Form 36 (SF-36) questionnaire. RESULTS: Data at 6 months were available for 78 per cent of patients. As a group the patients showed a significant decline on one cognitive function test (visual search) and on two domains of the SF-36 (physical function and vitality) when they were reassessed. There were no significant differences between patients undergoing endovascular or conventional aneurysm repair after 6 months in cognitive function or quality of life. CONCLUSION: Endovascular aneurysm surgery had a similar impact on health-related quality of life and cognitive function compared with conventional aneurysm repair. Patients in both groups demonstrated a significant decline in cognitive function.
INTRODUCTION: The long-term effects of endovascular aortic aneurysm repair on cognitive function and quality of life are not known. METHODS: The cognitive function and quality of life of 82 patients undergoing aortic aneurysm repair (34 endovascular and 48 conventional procedures) were assessed before and 6 months after operation. Cognitive function was quantified using a battery of psychometric tests. Quality of life was assessed with the Medical Outcomes Short Form 36 (SF-36) questionnaire. RESULTS: Data at 6 months were available for 78 per cent of patients. As a group the patients showed a significant decline on one cognitive function test (visual search) and on two domains of the SF-36 (physical function and vitality) when they were reassessed. There were no significant differences between patients undergoing endovascular or conventional aneurysm repair after 6 months in cognitive function or quality of life. CONCLUSION: Endovascular aneurysm surgery had a similar impact on health-related quality of life and cognitive function compared with conventional aneurysm repair. Patients in both groups demonstrated a significant decline in cognitive function.
Authors: Florian Dick; Véronique Grobéty; Franz F Immer; Dai Do Do; Hannu Savolainen; Thierry P Carrel; Jürg Schmidli Journal: World J Surg Date: 2008-06 Impact factor: 3.352
Authors: Nicolas J Mouawad; Stefan W Leichtle; Jeffrey V Manchio; Richard M Lampman; Brian G Halloran; Walter M Whitehouse Journal: Patient Relat Outcome Meas Date: 2012-12-28