Original articleAdult cardiacImprovements in Health-Related Quality of Life Before and After Isolated Cardiac Operations
Section snippets
Material and Methods
This single-site prospective, longitudinal observational study was approved by our Institutional Review Board.
Demographic, Behavioral, and Clinical Baseline Characteristics
Overall, the 370 patients who underwent isolated cardiac surgical procedures were 61.5 ± 11.9 years old, 70% men, and 76% white. Significant differences in demographic, behavioral, and clinical characteristics were identified among groups (Table 2).
Baseline
There were significant baseline differences in HRQOL among the isolated cardiac surgical groups. MV patients had better mean PCS scores at baseline compared with AV, CAB, and Maze patients (51.4 vs 44.5 vs 43.1 vs 43.2, respectively; p < 0.001). Maze
Comment
For all isolated cardiac operations, HRQOL improves from baseline to 3 or 6 months postoperatively and is generally maintained through year 3. When demographic and clinical variables are held constant, the type of cardiac operation does not influence postsurgical HRQOL changes across time. Our findings indicate that patients return to levels of HRQOL expected for the U.S. general population after cardiac operations.
The poor baseline physical HRQOL and subsequent postoperative improvement for
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