[Therapeutic control and quality of life in coronary artery bypass surgery patients]
C Brotons Cuixart1, I Moral Peláez, G Permanyer Miralda
1Unidad de Epidemiología Clínica. Servicio de Cardiología. Hospital General Universitari Vall d'Hebron. Barcelona. brotons@hg.vhebron.es
Insights
Coronary artery bypass surgery patients showed improved quality of life one year post-intervention. However, suboptimal control of risk factors like smoking and high cholesterol persists, indicating a need for better secondary prevention strategies.
Area of Science:
- Cardiovascular Surgery
- Public Health
- Quality of Life Research
Context:
- Assesses secondary prevention and health-related quality of life (HRQoL) in patients after coronary artery bypass surgery (CABG).
- Focuses on a one-year follow-up of patients undergoing their first CABG, excluding those with associated procedures and under 80 years old.
- Study conducted in both public and private hospitals in Catalonia, Spain.
Purpose:
- To evaluate the effectiveness of secondary prevention measures and changes in HRQoL one year after CABG.
- To identify persistent risk factors and areas for improvement in patient management post-surgery.
Summary:
- A one-year prospective study included 710 patients (85.4% male, mean age 63). Significant differences in hypertension, hypercholesterolemia, and diabetes prevalence were noted between men and women.
- Post-CABG, 7% of patients remained smokers. A reduction in anti-anginal treatments and improved HRQoL were observed.
- Cholesterol-lowering treatment increased from 44% at admission to 58% at one year (p < 0.01).
Impact:
- Patients undergoing CABG experience clinical improvement and enhanced HRQoL one year after surgery.
- Persistent high rates of smoking and suboptimal control of hypertension and hypercholesterolemia highlight critical areas for enhanced secondary prevention efforts.
- Findings underscore the need for intensified risk factor management to optimize long-term outcomes for CABG patients.
Background:
Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery.
Patients And Method:
One year follow up prospective study in patients undergoing first coronary bypass surgery without associated procedures and aged less than 80 in public and private hospitals in Cataluña, Spain.
Results:
710 patients were included, 85.4% were men, and mean age was of 63 years. When compared women and men, 74.8 vs 48.7% patients were diagnosed of hypertension, 70.2 vs 55% of hypercholesterolemia, and 42.3 vs 28.7% of diabetes (p < 0.01); on the other hand, 31.2% of men and 2.9% of women were active smokers (p < 0.01). After a year of follow-up, 7% of the total population remained smokers; a significant reduction of anti-anginal treatments and a significant improvement in health related quality of life were observed. Cholesterol lowering treatment in patients previously diagnosed of hypercholesterolemia increased significantly between hospital admission and one year after hospital discharged (from 44% at the beginning to a 58% at the year of follow up; p < 0.01).
Conclusions:
Patients undergoing coronary artery bypass surgery clinically improved one year after the intervention, improving also their health related quality of life. However, the percentage of smokers and the level of antihypertensive and lowering cholesterol treatment at the end of follow up suggest a suboptimal control of risk factor
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