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Published on: March 27, 2018
Quality of Life After Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis
Jacqueline Schmidt-RioValle1, Moath Abu Ejheisheh1, María José Membrive-Jiménez2
1Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain.
Insights
Coronary artery bypass grafting (CABG) significantly improves quality of life for patients with coronary heart disease. This procedure enhances physical and mental well-being, though potential risks require careful consideration.
Area of Science:
- Cardiology
- Public Health
- Quality of Life Research
Background:
- Coronary heart disease (CHD) is a major global health issue, causing significant disability and mortality.
- Cardiac catheterization, including coronary artery bypass grafting (CABG), is a common intervention for CHD.
- While CABG improves symptoms and survival, it carries risks like kidney failure, myocardial infarction, and stroke.
Purpose of the Study:
- To systematically review and analyze the impact of coronary artery bypass grafting (CABG) on patients' quality of life.
Main Methods:
- A systematic review and meta-analysis were performed using data from CINAHL, PubMed, Scopus, and Cuiden databases.
- Searches were conducted in June 2020, including 16 studies for the review and 3 for the meta-analysis.
- A total of 7537 subjects were included in the analysis.
Main Results:
- Studies using the SF questionnaire indicated improvements in physical and mental quality of life post-CABG.
- The NHP questionnaire revealed score enhancements and, in some cases, gender-specific differences in quality of life.
- CABG appears to positively influence overall quality of life for individuals with coronary pathologies.
Conclusions:
- Coronary artery bypass grafting is a viable option for enhancing the quality of life in patients with coronary diseases.
- Careful assessment of potential risks associated with CABG is crucial before proceeding with the intervention.
Abstract:
Coronary heart disease is a public health problem and is one of the leading causes of loss of quality of life, disability, and death worldwide. The main procedure these patients undergo is cardiac catheterisation, which helps improve their quality of life, symptoms of myocardial ischemia, and ventricular function, thus helping increase the survival rate of sufferers. It can also, however, lead to physical consequences, including kidney failure, acute myocardial infarction, and stroke. The objective of this study was to analyse how coronary artery bypass grafting (CABG) influences quality of life. A systematic review and meta-analysis were conducted using the CINAHL, PubMed, Scopus, and Cuiden databases in June 2020. A total of 7537 subjects were included, 16 in the systematic review and 3 in the meta-analysis. The studies analysing quality of life using the SF questionnaire showed improvements in the quality of physical and mental appearance, and those using the NHP questionnaire showed score improvements and, in some cases, differences in quality of life between women and men. This operation seems to be a good choice for improving the quality of life of people with coronary pathologies, once the possible existing risks have been assessed.
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