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Published on: June 28, 2019
Percutaneous coronary revascularization in elderly patients: impact on functional status and quality of life
T B Seto1, D A Taira, R Berezin
1Beth Israel Deaconess Medical Center and Harvard School of Public Health, Boston, Massachusetts, USA.
Background:
Percutaneous coronary intervention (PCI) is frequently performed in elderly patients, but little is known about its impact on overall health and quality of life.
Objective:
To examine changes in health-related quality of life among elderly patients after PCI.
Design:
Observational study.
Setting:
75 U.S. hospitals.
Patients:
Participants in two clinical trials of PCI.
Measurements:
Health-related quality of life was assessed by using the Medical Outcomes Study Short Form (SF-36) survey and the Seattle Angina Questionnaire at baseline, 6 months, and 1 year.
Results:
Serial data on health-related quality of life were available for 295 elderly (> or =70 years) and 1150 nonelderly (<70 years) patients. At 6 months, physical health had improved in 51% of elderly patients and mental health had improved in 29%. Cardiovascular-specific health status had improved in 58% to 75% of elderly patients. Improvement did not significantly differ between elderly and non-elderly patients at 6 months or 1 year.
Conclusions:
Elderly patients selected for participation in a trial of PCI had substantial improvements in health-related quality of life after PCI that were similar to those in younger patients.
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