Patient-reported outcomes after aortic and mitral valve surgery - results from the DenHeart Study

被引:9
作者
Borregaard, Britt [1 ,2 ]
Ekholm, Ola [2 ]
Riber, Lars [1 ]
Sorensen, Jan [3 ,4 ]
Moller, Jacob E. [5 ,6 ]
Thrysoe, Lars [5 ,6 ]
Thorup, Charlotte B. [7 ,8 ]
Vamosi, Marianne [9 ]
Christensen, Anne V. [3 ,10 ]
Rasmussen, Trine B. [11 ]
Berg, Selina K. [2 ,10 ]
机构
[1] Odense Univ Hosp, Dept Cardiothorac & Vasc Surg, Klovervaenget 47, DK-5000 Odense C, Denmark
[2] Univ Southern Denmark, Natl Inst Publ Hlth, Odense, Denmark
[3] Univ Southern Denmark, Ctr Hlth Econ Res COHERE, Odense, Denmark
[4] Royal Coll Surgeons Ireland, HORC, Dublin, Ireland
[5] Univ Southern Denmark, Dept Clin Res, Odense, Denmark
[6] Odense Univ Hosp, Dept Cardiol, Odense, Denmark
[7] Aalborg Univ Hosp, Dept Cardiol, Aalborg, Denmark
[8] Aalborg Univ Hosp, Dept Cardiothorac Surg, Aalborg, Denmark
[9] Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark
[10] Copenhagen Univ Hosp, Ctr Heart, Copenhagen, Denmark
[11] Herlev & Gentofte Univ Hosp, Dept Cardiol, Herlev, Denmark
关键词
Patient-reported outcomes; quality of life; registries; heart valves; QUALITY-OF-LIFE; DEPRESSIVE SYMPTOMS; REPLACEMENT;
D O I
10.1177/1474515117731391
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Clinical course, co-morbidity and age often differs between patients undergoing aortic and mitral valve surgery and this might affect patient-reported outcomes. Aims: The purpose of this study was to describe differences in patient-reported physical and mental health and health-related quality of life after aortic valve or mitral valve surgery, and to identify demographic and clinical characteristics associated with worse patient-reported physical and mental health, and health-related quality of life. Methods: Patient-reported outcomes were measured at discharge as a part of a national, cross-sectional study (DenHeart). Patient-reported outcome measures included: Short-Form-12, Hospital Anxiety and Depression Scale, EuroQol-5D-5L, HeartQol and Edmonton Symptom Assessment System. Demographic and clinical information was obtained from national registers. Results: Of 354 patients (65% men, mean age: 68 years), 79% underwent aortic valve surgery. Patients who had undergone aortic valve surgery had more symptoms of anxiety compared with patients who had undergone mitral valve surgery (34% vs 17%, p=0.003, Hospital Anxiety and Depression Scale anxiety cut-off score of eight). Being female was associated with worse patient-reported outcomes on all measures, whereas being unmarried was associated with worse physical health (Physical Component Score Short-Form-12) and symptom burden (Edmonton Symptom Assessment System). Length of stay was associated with worse symptoms on EuroQol-5D-5L Visual Analogue Scale. Age and comorbidity were not associated with patient-reported outcomes. Conclusion: Patients who had undergone aortic valve and mitral valve surgery did not significantly differ in patient-reported health at discharge, except for symptoms of anxiety. Being female was the only characteristic associated with overall worse patient-reported outcomes at discharge.
引用
收藏
页码:246 / 254
页数:9
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