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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
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Quality of life one year after coronary artery bypass graft surgery

H R Taghipour1, M H Naseri, R Safiarian

  • 1Trauma Research Center, Department of Cardiology and Cardiothoracic Surgery, Bagiyatallah University of Medical Sciences, Tehran, Iran.

Iranian Red Crescent Medical Journal
|June 28, 2012
PubMed

Insights

Coronary artery bypass graft (CABG) surgery improved physical functioning and role physical outcomes one year post-operation. However, other quality of life aspects were lower than expected, possibly due to risk factors.

Area of Science:

  • Cardiology
  • Health Services Research
  • Quality of Life Research

Background:

  • Coronary artery bypass graft (CABG) is a key treatment for coronary artery disease (CAD).
  • Assessing long-term outcomes using the SF-36 Health Related Quality of Life (HRQOL) questionnaire is crucial for evaluating CABG effectiveness.
  • This study aimed to determine CABG outcomes one year post-surgery.

Purpose of the Study:

  • To evaluate the one-year post-operative quality of life outcomes following Coronary Artery Bypass Graft (CABG) surgery.
  • To identify factors influencing changes in health-related quality of life after CABG.
  • To compare patient outcomes with normative data and previous studies.

Main Methods:

  • 112 patients undergoing CABG between March 2005 and August 2009 completed the SF-36 HRQOL questionnaire.
  • Stepwise multiple linear regression models were employed to analyze predictors of SF-36 subscale changes.
  • Patient demographics, surgical details (pump vs. off-pump), ejection fraction, and diabetes status were considered.

Main Results:

  • Mean age was 61.4 years; most patients were male with three-vessel disease undergoing on-pump CABG.
  • Mean physical and mental component summary scores were 59.5 and 60.2, respectively.
  • Significant improvements were observed in Physical Functioning (PF) and Role Physical (RP) for males. Regression models indicated some predictors for Role Emotional (RE), General Health (GH), PF, and RP, though with low R-squared values.

Conclusions:

  • CABG demonstrated higher satisfactory outcomes for PF, RP, and RE compared to normative data and other studies.
  • Outcomes in other SF-36 scales were lower than expected.
  • Unmodified risk factors and comorbidities likely contributed to the observed outcomes.
Abstract

Keywords:
Coronary artery bypassIranQuality of LifeQuestionnaires

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