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Clinical and Nonclinical Predictors of Health-Related Quality of Life, One Year After Percutaneous Coronary
Soheil Soltanipour1, Arsalan Salari2, Zahra Ahmadnia2
1Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Insights
Health-related quality of life (HRQoL) after percutaneous coronary intervention (PCI) is influenced by unemployment, age, and comorbidities. Addressing these factors can improve patient outcomes post-PCI.
Area of Science:
- Cardiology
- Public Health
- Quality of Life Research
Background:
- Cardiovascular diseases are highly prevalent, necessitating research into factors affecting quality of life after interventions.
- Understanding health-related quality of life (HRQoL) post-percutaneous coronary intervention (PCI) is crucial for patient care.
- This study investigates determinants of HRQoL one year after PCI.
Purpose of the Study:
- To identify factors associated with health-related quality of life (HRQoL) in patients one year after percutaneous coronary intervention (PCI).
Main Methods:
- A cross-sectional study involving 912 patients who underwent PCI in Iran.
- Data collected via face-to-face interviews using the SF-36 HRQoL questionnaire and other relevant checklists.
- Multivariate linear regression analysis was employed to identify significant associations (p < 0.05).
Main Results:
- The average age of participants was 59.47 years, with 62.94% being male.
- Men reported significantly higher HRQoL scores (69.44 ± 21.18) compared to women (60.26 ± 21.8) (p < 0.001).
- Unemployment, older age, loss of spouse, comorbidities, re-angioplasty, and rehospitalization were significantly associated with lower HRQoL.
Conclusions:
- Factors such as unemployment, age, loss of spouse, comorbidities, and repeat procedures negatively impact HRQoL after PCI.
- A comprehensive care strategy considering both clinical and non-clinical aspects is recommended to enhance HRQoL post-PCI.
Abstract:
Background: According to the high prevalence of cardiovascular diseases and the need to know the factors associated with the important outcome of quality of life after therapeutic interventions, this study was conducted with the aim of determining the factors associated with health-related quality of life (HRQoL), one year after percutaneous coronary intervention (PCI). Methods: This cross-sectional study was conducted on 912 patients undergoing PCI in a referral-educational hospital in Iran. Data collection was done using a HRQoL questionnaire (SF-36) and a checklist containing other study variables by face-to-face interview. To analyze the variables, the descriptive statistics and multivariate linear regression were used. All statistical analyses were performed using IBM SPSS Statistics for Windows, Version 16.0 (IBM Corp., Armonk, NY, USA). In this study, the significance level is p < 0.05. Results: The mean ± SD age of the participants was 59.47 ± 9.94 years, and 62.94% of them were male. The mean score of HRQoL in men (69.44 ± 21.18) was significantly higher than women (60.26 ± 21.8) (p < 0.001). In linear regression analysis, the variables of unemployment, age, loss of spouse, comorbidity, re-angioplasty, rehospitalization after PCI were significantly associated with to HRQoL. Conclusions: Better HRQoL after PCI may be linked to a care strategy that takes into account both clinical and nonclinical aspects.
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