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Clinical outcome and emotional-behavioural status after isolated coronary surgery
P Pinna Pintor1, R Torta, S Bartolozzi
1Fondazione Arturo Pinna Pintor, Torino, Italy.
Insights
Coronary artery bypass graft (CABG) surgery significantly improves psychosocial well-being, especially in patients without cardiac events. Patients returning to work without restrictions reported the highest well-being improvements post-CABG.
Area of Science:
- Cardiology
- Psychosocial Health
- Surgical Outcomes
Background:
- Coronary artery bypass graft (CABG) surgery is a common intervention for coronary artery disease.
- Understanding the long-term clinical and psychosocial impact of CABG is crucial for patient recovery and quality of life.
Purpose of the Study:
- To evaluate the clinical and psychosocial outcomes of isolated coronary artery bypass graft (CABG) surgery.
- To assess the relationship between cardiac events and psychosocial well-being following CABG.
Main Methods:
- A cohort of 626 patients undergoing isolated CABG was studied.
- Patients completed questionnaires assessing post-operative cardiac events and psychosocial variables (mood, interests, well-being, work status) at a median follow-up of 58 months.
Main Results:
- 71% of patients without cardiac events (Group A) reported improved psychosocial variables compared to 11% with cardiac events (Group B).
- Interest in work, hobbies, and sexual activities improved in 20% of Group A versus 2% of Group B.
- Patients returning to work without restrictions showed the highest well-being improvement (66%).
Conclusions:
- Isolated CABG surgery leads to significant improvements in psychosocial well-being, particularly in patients who avoid subsequent cardiac events.
- Return to unrestricted work post-CABG is strongly associated with enhanced general well-being.
- The study highlights the importance of considering psychosocial factors in the long-term management of CABG patients.
Abstract:
In order to evaluate clinical and psychosocial results of isolated coronary artery by-pass graft (CABG) we studied 626 consecutive patients, mean age 61 +/- 8 years (86% men), in a follow-up (median: 58 months) with a complete questionnaire about cardiosurgical problems (post-operative vital status, angina relapse, infarction, heart failure, PTCA, redo, PM) and psychosocial variables (mood, irritableness, job satisfaction, hobby satisfaction, family relations, sexual activity, general well-being and work status). Global evaluation improvement of psychosocial variables was found in 71% of patients without cardiac events (group A) and 11% of patients with cardiac events (group B); worsening was found in 2% of group A and 1% of group B; no referred variations in 13% and 2% respectively (p < or = 0.05. Interests (in work, hobbies and sexual activities) demonstrate an improvement in 20% (group A) and 2% (group B); worsening in 12% (group A) and 4% (group B); no variations in 51% (group A) and 11% (group B) (p < or = 0.005). Patients reported a well-being evaluation improvement about 66% in the group returning to work without restriction, 13% in those with limitation, 6% no further working; worse or unchanged well-being evaluation was found in 9% of patients returning to work without restriction, 3% with limitation, 3% no further working (p < or = 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)