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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_2806_Библиотеки_им_академика_М_И_Перельмана
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22
Y. S. Abdullahi et al.
**********
Physical
For total arterial
component
improved Quality score
HRQOL
instruments Conclusion
1year SF-36 Health-related
Follow-up duration
(mean)
revascularization,
there were not
statistically
signicant
improvements for
‘physical
quality of life up
to 1year after
total arterial
revascularization
is equal or
slightly better
********
Both groups had
component
summary’
than results after
conventional
an improved
(P=0.09)
clinical
coronary surgery
6Months SF-36 The aims of
physical function
score compared to
baseline, the
conventional care
group had a higher
pathways—
reducing LOS
and costs, was
not fullled in
the study
improvement of
physical function
when compared to
baseline
**
A signicant
improvement in
physical function
still existed
15years post
CABG compared
Despite an
ongoing decline
in HRQOL over
the years, there
was still an
improvement in
Health Prole, the
Psychological
General Well-
Being Index, and
the Physical
15years The Nottingham
to baseline,
despite ongoing
deterioration of
overall physical
function
most aspects of
HRQOL
15years after
CABG
compared with
Activity Score
that before
surgery
No. of
patients
Table 3.2 (continued)
ITA+Radial
329 Single/Double
at
baseline Age of patients
Prospective
cohort
Single/Double
ITA+Radial
Damgaard,
Author, year,
2011 [14]
Ref Intervention Study type
grafts:
59±8
Conventional
revascularisation
grafts:
161vsConventional
using left ITA/
SVGs:
59±8
198 Pathway Group:
Prospective
revascularisation
using left ITA/
198 patients ->
SVGs
170
El Baz, 2009
64.93±9.60
Conventional
Care:
64.83±10.53
cohort
patient split
between care
pathway group and
conventional care
[15]
group not stated
stated)
2000 62.7 (SD not
Prospective
cohort
Patients undergoing
isolated CABG
N=2000
Herlitz, 2009
[16]
3 What Factors Predict an Improved Quality of Life Outcome Following Coronary Artery Bypass Graft…
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
(continued)
23
**
Physical
Physical function
component
improved Quality score
HRQOL
instruments Conclusion
Follow-up duration
(mean)
signicantly
improved post
CABG, even at
12year follow up
ongoing
deterioration
12years after
the CABG, there
time point.
Physical function
was better than
that reported for
was signicant
improvement in
most dimensions
of the HRQOL
****
general population
and functional
capacity in
comparison with
Physical function
the preoperative
values
SF-36 Results conrm
20months (range
for patients with
sternal wound
infections was
below that of the
normal population
that if the
patients survive,
sternal wound
infection is a
very serious
740)
complication
concerning
HRQOL.At
follow up the
patients who had
had an infected
sternal wound
did not improve
their HRQOL,
regardless no
difference in
surgical
technique used
infection:
68.27
(46.72–81.43)
CABG group
65.71
(48.58–78.83)
No. of
patients
508 62.3±9.3 11.8years±0.48 RAND-36 Despite an
at
baseline Age of patients
Prospective
cohort
Patients undergoing
isolated CABG
Hokkanen,
Author, year,
2014 [17]
Ref Intervention Study type
N=508
126 Sternal wound
Retrospective
cohort
Sternal wound
Infection
n=84
CABG group
Jidéus, 2009
[18]
N=42
24
Physical
component
improved Quality score
HRQOL
instruments Conclusion
***********
Patients in both
the non- and
perioperative MI
groups had
signicantly
perioperative MI
has a negative
impact on
health- related
RAND-36 Although
improved physical
function post
CABG
HRQOL 1year
after CABG, this
effect is only
minor in the
long term.
Perioperative MI
increases 30-day
mortality but
shows no effect
on later
Y. S. Abdullahi et al.
mortality
No. of
patients
Table 3.2 (continued)
1year survey:
Mean follow up
Follow-up duration
(mean)
at
baseline Age of patients
Author, year,
Ref Intervention Study type
12.6±1.2months
65.4±9
Non-PMI:
501 PMI:
Prospective
cohort
Patients undergoing
CABG with
perioperative MI
Jrvinen,
2014 [19]
12year survey:
mean follow up
time
61.7±9.3
N=8
Patients undergoing
CABG without
11.8±0.48years
perioperative MI
N=493
3 What Factors Predict an Improved Quality of Life Outcome Following Coronary Artery Bypass Graft…
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
25
(continued)
Physical
nil **
component
improved Quality score
Despite that all
HRQOL
instruments Conclusion
Follow-up duration
(mean)
scores returned
to or below
baseline at
9months, a high
percentage of
Index (BDI)
Beck Anxiety
Index (BAI)
Sheehan Disability
Scale (SDS)
patients still had
depressive
symptoms and
overall poor
quality of life
Quality of Life
Enjoyment and
Satisfaction
Questionnaire
(Q-LES-Q)
nil **
life signicantly
(HRQOL)
improves in the
rst 4weeks
after cardiac
surgery. There is
a relation
between the
patient’s age and
their reported
HRQOL
nil *
demonstrates
that both anxiety
and depressive
symptoms are
strongly
implicated in
determining
PCS 5years
post-CABG
using the SF-36
No. of
patients
50 63.28±11.20 9months Beck Depression
at
baseline Age of patients
Prospective
cohort
Patients undergoing
Off-pump CABG
Khoueiry,
Author, year,
2011 [22]
Ref Intervention Study type
N=50
86 63.3±8.93 5months EQ-5D The quality of
Prospective
cohort
Patients undergoing
isolated CABG
N=86
Kołtowski,
2011 [23]
162 Not stated 5years SF-36 study
Retrospective
cohort (not
formally
stated)
Patients undergoing
CABG N=128
Lee, 2009
[24]
26
Y. S. Abdullahi et al.
**
Physical
Patients reported
component
improved Quality score
HRQOL
instruments Conclusion
Follow-up duration
(mean)
higher physical
functioning
3months after
surgery compared
about their
illness before
surgery strongly
inuence
to presurgery
recovery from
cardiac surgery.
The results
suggest that
patients could
benet from
pre-surgery
cognitive
interventions
aimed at
changing
maladaptive
illness beliefs to
improve
physical
functioning and
disability
following
cardiac surgery
nil ************
differences in
the expected
HRQOL at
6months after
6months SF-36 no signicant
68.5 (42.0 to
85.0)
On-pump CABG
66.0 (39.0 to
either on-pump
or off-pump
CABG
87.0)
No. of
patients
Table 3.2 (continued)
56 63.6±11.6 3months SF-12 Patients’ beliefs
at
baseline Age of patients
Prospective
cohort
patients undergoing
elective cardiac
Juergens,
Author, year,
2010 [20]
Ref Intervention Study type
surgery CABG,
heart valve surgery,
or a combined
procedure n=56
191 Off-pump CABG
Prospective
cohort
Off-pump CABG
N=116
On-pump CABG
N=75
Kapetanakis,
2008 [21]
3 What Factors Predict an Improved Quality of Life Outcome Following Coronary Artery Bypass Graft…
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**********
27
(continued)
Physical
PCS in both
component
improved Quality score
HRQOL
instruments Conclusion
6months SF-36 HRQoL after
Follow-up duration
(mean)
groups improved
from baseline to
6months
following surgery,
however there was
CABG improved
markedly over
time, but no
signicant or
clinically
group
62 (range 39–77)
Control group
62 (range 42–78)
no difference in
PCS between
intervention and
control group
important
differences were
found between
patients
6months post
operation
receiving a
home based
intervention
program and
controls
nil **********
In a cohort of
symptomatic
high-risk
patients with
ischemic left
ventricular
Cardiomyopathy
Questionnaire
SF12
SF36
Cardiac Self-
36months The Kansas City
medical therapy
group:
59 (53–67)
Median age of
CABG+medical
dysfunction and
multivessel
coronary artery
disease, CABG
plus medical
Efcacy
Questionnaire
EuroQol-5D
therapy group:
60 (54–68)
therapy
produced
clinically
important
improvements in
several health
status domains
compared with
medical therapy
alone over
36months
No. of
patients
203 Intervention
at
baseline Age of patients
Randomised
controlled
Isolated CABG
patients receiving
Lie, 2009
Author, year,
[25]
Ref Intervention Study type
trial
home based
intervention
program and
controls
N=93
Control group
N=92
1212 Median age of
Randomised
trial
Assignment to
medical therapy
N=602
Medical
therapy+CABG
Mark, 2014
[26]
N=610
28
Y. S. Abdullahi et al.
*********
Physical
For physical
component
improved Quality score
Elderly patients
HRQOL
instruments Conclusion
1year EuroQoL
Follow-up duration
(mean)
activity there is a
statistical
signicant
improvement for
groups A and B,
have the same
improvement of
their
symptomatic
status as
questionnaire
but the
improvement is
lesser in group B
(mean change 0.2
vs 0.5in group A).
younger patients
However despite
this
improvement
they have less
The improvement
in PA in group C
does not result in
a signicantly
benet from
CABG regarding
to their quality
of life and
**
67.9% percent of
higher follow-up
PA (p=0.744)
A high
physical activity
patients improved
in the category
‘physically
restricted or
limited’,
improvement is
proportion of the
patients
experienced
improvement
while a
substantial
Heart disease
health-related
quality of life
questionnaire
statistically
signicant,
p<0.001.
number had
exacerbations
related to self
condence and
dependence to
others
No. of
patients
Table 3.2 (continued)
56.9±5.8
568 Group A
at
baseline Age of patients
Retrospective
cohort study
Group A, primary
isolated CABG
Markou,
Author, year,
2008 [27]
Ref Intervention Study type
Group B
69.5±2.8
Group C
77.7±1.9
patients age
<65years: n=285
group B, primary
isolated CABG
patients age
65—74years:
n=210
group C, primary
isolated CABG
patients age
75years: n=73
63 72.9±3.7 12months The MacNew
Prospective
cohort study
Elderly patients
(age>65)
undergoing CABG
N=63
Merkouris,
2009 [28]
3 What Factors Predict an Improved Quality of Life Outcome Following Coronary Artery Bypass Graft…
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
(continued)
**
Physical
component
improved Quality score
Patients with and
without a Type D
personality
showed signicant
improvements in
PCS post CABGs,
however patients
with type D
personality scored
lower than their
counterparts (both
pre and post-op)
evidence that
increased
symptoms of
psychological
distress is a
strong predictor
of no
change-
deterioration
trajectories in
HRQoL and that
this relationship
is inuenced by
personality trait
Type
D.Concluded
that mediating
factors,
especially
increased
anxiety and
depression,
should be treated
adequately in
post-CABG
clinical routine
HRQOL
instruments Conclusion
29
Follow-up duration
No. of
patients
at
Author, year,
(mean)
256 64.89±9.95 6months SF-36 There is
baseline Age of patients
Prospective
cohort study
Patients scheduled
for CABG
N=256
Middel,
2014 [29]
Ref Intervention Study type
30
Y. S. Abdullahi et al.
Physical
nil **
component
improved Quality score
SF-36 An adverse
HRQOL
instruments Conclusion
24h
Follow-up duration
(mean)
relationship was
found
Between pre-op
mental summary
post-operatively
60.3±8.4
Non-diabetics:
59.2±9.4
score and the
mean of plasma
glucose
concentrations
during 24h after
surgery. No
signicant
association was
found between
pre-op physical
summary score
and mean of
plasma glucose
concentration
during this time
No. of
patients
Table 3.2 (continued)
268 Diabetics:
at
baseline Age of patients
Cross-
sectional
Diabetics
undergoing isolated
Naja, 2012
Author, year,
[30]
Ref Intervention Study type
study
CABG
N=113
Non-Diabetics
undergoing isolated
CABG
N=155
3 What Factors Predict an Improved Quality of Life Outcome Following Coronary Artery Bypass Graft…
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
*******
Physical
component
improved Quality score
nil *
The study found
HRQOL
instruments Conclusion
WHOQOL- BREF
that the
independent
physical
component
predictors for
higher HRQOL
questionnaire13,14
included male
gender and
diabetes
mellitus, while
the independent
psychological
component
predictors were
male gender and
high ejection
fraction. Males,
diabetics and
patients with
low education
levels had higher
social well-
Physical function
being than
others
improved
signicantly
between baseline
and all points of
scores improved
signicantly in
both groups
post- operatively
follow up
compared to
(3months,
12months,
8years) across
both groups
pre-operatively.
On-Pump
patients had a
greater social
31
(continued)
function score
compared to
off-pump
counterparts
Follow-up duration
No. of
patients
at
Author, year,
(mean)
283 59.8±9.0 Not stated
baseline Age of patients
Not formerly
stated—but
likely
prospective
Patients undergoing
isolated CABG
N=283
Naja, 2009
[31]
Ref Intervention Study type
cohort
8years SF-36 HRQoL SF-36
75±4.5
Off-pump CABG
76±4.8
On-pump CABG
120 All patients:
Prospective
cohort study
Elderly patients
undergoing
off-pump CABG
n=61
Elderly patients
Østergaard,
2015 [32]
75±4.2
undergoing
on-pump CABG
n=59
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