OBJECTIVE: To assess the determinants of poor mid-term health related quality of life (HRQoL) at one year after primary isolated coronary artery bypass grafting (CABG). METHODS: 463 patients who underwent primary isolated CABG for multivessel disease and came for their annual follow up at the outpatient clinic during one year at Harefield Hospital, Middlesex, were approached to participate in the present study. Prospective clinical data were collected as part of the clinical care of the patients and were retrospectively analysed when the patients consented to participate in the study at their outpatient visit. After their consent they were given three HRQoL assessment questionnaires. Scores, together with clinical data, were analysed by both univariate and multivariate analyses with regard to poor HRQoL outcome. RESULTS: 437 (94.4%) patients consented to participate in the study and filled in the HRQoL questionnaires. Ten variables were identified in the univariate analysis as potential predictors of poor scores of the physical element of HRQoL; however, only three variables-gastrointestinal problems, congestive heart failure, and type D personality trait-predicted poor physical scores independently. Eleven variables were identified in the univariate analysis as potential predictors of poor scores of the mental element of HRQoL; however, only three variables-peripheral vascular disease, infective complications, and type D personality trait-predicted poor physical scores independently. CONCLUSION: Preoperative gastrointestinal problems, preoperative congestive heart failure, and type D personality trait were independent predictors of the poor physical component of HRQoL. Peripheral vascular disease, infective complications, and type D personality trait were independent predictors of the poor mental component of HRQoL. Interestingly, patients with type D personality were more than twice as likely to have poor physical HRQoL and more than five times as likely to have poor mental HRQoL.
OBJECTIVE: To assess the determinants of poor mid-term health related quality of life (HRQoL) at one year after primary isolated coronary artery bypass grafting (CABG). METHODS: 463 patients who underwent primary isolated CABG for multivessel disease and came for their annual follow up at the outpatient clinic during one year at Harefield Hospital, Middlesex, were approached to participate in the present study. Prospective clinical data were collected as part of the clinical care of the patients and were retrospectively analysed when the patients consented to participate in the study at their outpatient visit. After their consent they were given three HRQoL assessment questionnaires. Scores, together with clinical data, were analysed by both univariate and multivariate analyses with regard to poor HRQoL outcome. RESULTS: 437 (94.4%) patients consented to participate in the study and filled in the HRQoL questionnaires. Ten variables were identified in the univariate analysis as potential predictors of poor scores of the physical element of HRQoL; however, only three variables-gastrointestinal problems, congestive heart failure, and type D personality trait-predicted poor physical scores independently. Eleven variables were identified in the univariate analysis as potential predictors of poor scores of the mental element of HRQoL; however, only three variables-peripheral vascular disease, infective complications, and type D personality trait-predicted poor physical scores independently. CONCLUSION: Preoperative gastrointestinal problems, preoperative congestive heart failure, and type D personality trait were independent predictors of the poor physical component of HRQoL. Peripheral vascular disease, infective complications, and type D personality trait were independent predictors of the poor mental component of HRQoL. Interestingly, patients with type D personality were more than twice as likely to have poor physical HRQoL and more than five times as likely to have poor mental HRQoL.
Authors: James D Whitehouse; N Deborah Friedman; Kathryn B Kirkland; William J Richardson; Daniel J Sexton Journal: Infect Control Hosp Epidemiol Date: 2002-04 Impact factor: 3.254
Authors: J Baena Díez; D López Gosp; M De La Poza Abad; E Raidó Quintana; M Vila Capdevila; J Martínez Martínez Journal: Gastroenterol Hepatol Date: 2001-11 Impact factor: 2.102
Authors: Virginie Pignay-Demaria; François Lespérance; Roland G Demaria; Nancy Frasure-Smith; Louis P Perrault Journal: Ann Thorac Surg Date: 2003-01 Impact factor: 4.330
Authors: Jurgen C de Graaff; Dirk Th Ubbink; Elisabeth Ilse J C Kools; Steven A J Chamuleau; Michael J H M Jacobs Journal: Ann Vasc Surg Date: 2002-06-27 Impact factor: 1.466
Authors: Eli N Perencevich; Kenneth E Sands; Sara E Cosgrove; Edward Guadagnoli; Ellen Meara; Richard Platt Journal: Emerg Infect Dis Date: 2003-02 Impact factor: 6.883
Authors: Ghislaine A P G van Mastrigt; Manuela A Joore; Fred H M Nieman; Johan L Severens; Jos G Maessen Journal: Qual Life Res Date: 2010-03-26 Impact factor: 4.147
Authors: Julie Sanders; Tracey Bowden; Nicholas Woolfe-Loftus; Mandeep Sekhon; Leanne M Aitken Journal: Health Qual Life Outcomes Date: 2022-05-18 Impact factor: 3.077
Authors: Patrizia Steca; Marco D'Addario; Maria Elena Magrin; Massimo Miglioretti; Dario Monzani; Luca Pancani; Marcello Sarini; Marta Scrignaro; Luca Vecchio; Francesco Fattirolli; Cristina Giannattasio; Francesca Cesana; Salvatore Pio Riccobono; Andrea Greco Journal: PLoS One Date: 2016-09-02 Impact factor: 3.240
Authors: Susanne S Pedersen; Andriy Yagensky; Otto R F Smith; Oksana Yagenska; Volodymyr Shpak; Johan Denollet Journal: Int J Behav Med Date: 2009-02-20