Related Experiment Video

Updated: Apr 3, 2026

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

775

Health-related quality of life predicts unplanned rehospitalization following coronary revascularization

W Benzer1,2, A Philippi3, S Hoefer4

  • 1Department of Interventional Cardiology, Cardiac Disease Management Centre, Academic Hospital Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria. wbenzer@cable.vol.at.

Herz
|September 24, 2015
PubMed

Insights

Poor health-related quality of life (HRQL) after coronary revascularization predicts cardiac rehospitalization. Patients with lower physical and social HRQL scores faced higher risks within three years.

Area of Science:

  • Cardiology
  • Health Outcomes Research

Background:

  • Health-related quality of life (HRQL) is a key health outcome measure in cardiology.
  • Assessing HRQL's predictive value for rehospitalization post-coronary revascularization is crucial.

Purpose of the Study:

  • To evaluate health-related quality of life (HRQL) as a predictor of unplanned cardiac rehospitalization.
  • To analyze HRQL scores in patients following coronary revascularization over a three-year period.

Main Methods:

  • Utilized MacNew HRQL questionnaire data from 743 patients post-coronary revascularization.
  • Employed HRQL global and subscale scores as predictors for unplanned rehospitalization.
  • Adjusted for covariates including age, gender, and myocardial infarction history.

Main Results:

  • 16.8% of patients (125) experienced rehospitalization within 3 years.
  • Low/moderate global HRQL scores significantly predicted rehospitalization (HR: 1.8).
  • Impaired physical (HR: 2.2) and social (HR: 1.8) HRQL subscores also indicated higher rehospitalization risk.

Conclusions:

  • Diminished health-related quality of life (HRQL) post-coronary revascularization is a strong predictor of subsequent rehospitalization.
  • HRQL assessment offers valuable prognostic information for cardiac patients.
Abstract

Keywords:
Coronary artery diseaseHealth-related quality of lifePrognosisRehospitalizationRevascularization

More Related Videos

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.9K

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
418
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
468
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
451
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
453
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
430
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
584