Original Articles: CardiovascularTime related quality of life after elective cardiac operation
Section snippets
Patients and methods
From January 1993 to October 1994, 850 patients above 65 years of age underwent cardiac surgery requiring cardiopulmonary bypass in the Department of Cardiac Surgery at the Kaiser Permanente Medical Center (Los Angeles, CA). This represented 40% of the 2,113 adult open heart operations (mean age 62.8 years) performed during this period. To focus the analysis on commonly performed procedures, only individuals requiring coronary artery bypass grafting (CABG), valve procedure, or a combination
Results
The overall 30-day hospital mortality rate was 3.3% ± 0.7% (2.7% ± 0.8% for CABG ± miscellaneous, 4.2% ± 2% for valve surgery ± miscellaneous, and 5.9% ± 2.9% CABG + valve surgery, p = NS). There were 41 late deaths during the 2-year follow-up period (28 for CABG ± miscellaneous, 10 for valve surgery ± miscellaneous, and 3 for CABG + valve surgery, p = NS). Therefore, 543 patients survived to complete the study and their quality of life data were entered into the analysis.
Selective preoperative
Comment
While mortality and morbidity rates, symptoms of illness, and return to normal activity are commonly used objective measures of clinical outcome after cardiac surgery, these represent only part of what clinicians typically regard as recovery. Recent emphasis has been placed on changes in functional status and feelings of well-being postoperatively. Most studies of this kind have concentrated on patients undergoing CABG 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 with few reports 18, 19, 20
Acknowledgements
Supported in part by the Garfield Foundation.
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