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[Role of cardiovascular disorders in quality of life after total hip replacement]
1Jávorszky Ödön Kórház Rehabilitációs Osztály Vác Argenti Döme tér 1-3. 2600. kiralyedit78@gmail.com
Insights
Total hip replacement improved WOMAC scores but not overall well-being. Cardiovascular diseases significantly impact patient recovery and sick feelings post-surgery.
Area of Science:
- Orthopedic Surgery
- Health Outcomes Research
Context:
- Retrospective cohort study at Jávorszky Ödön Hospital, Vác, Hungary.
- Involved 109 patients undergoing total hip replacement.
Purpose:
- To evaluate the impact of total hip replacement on health-related quality of life and patient-reported outcomes.
- To assess the influence of comorbidities on post-surgical well-being.
Summary:
- WOMAC scores significantly improved post-total hip replacement.
- EQ-5D scores did not correlate with improved subjective well-being.
- Cardiovascular diseases were identified as a key comorbidity affecting patient-reported sick feelings.
Impact:
- Highlights the need to consider cardiovascular comorbidities in total hip replacement outcomes.
- Suggests that surgical success alone may not alleviate subjective sick feelings in patients with significant cardiovascular disease.
Unlabelled:
This cohort, retrospective study, in the Jávorszky Ödön Hospital, Vác, Hungary, involved 109 patients after total hip replacement.
Methods:
The applied questionnaires included the EQ-5D health-related quality of life scores, the Western Ontario and McMaster Universities Ostoearthritis Index (WOMAC) scores, the preoperative and the postoperative 5th year health characteristics. The severity of co-morbidities was graded in respect of clinical signs and pharmacological treatment.
Results:
The WOMAC values significantly improved in the examination period. However - in spite of the changes in EQ-5D -, it had no influence on adherence of feeling sick after total hip replacement. Among the co-morbidities, the cardiovascular diseases had a distinguished role because their prevalence and deterioration showed a close relationship with the subjective health-feeling of the patients.
Conclusion:
According to our study, we have to consider that in case of significant hypertension, ischemic heart diseases or chronic heart failure even the successful surgery will not improve the general sick-feeling of the patients.
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