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Stoll, C; Schelling, G; Goetz, AE; Kilger, E; Bayer, A; Kapfhammer, HP; Rothenhäusler, HB; Kreuzer, E; Reichart, B; Peter, K.
Health-related quality of life and post-traumatic stress disorder in patients after cardiac surgery and intensive care treatment.
J Thorac Cardiovasc Surg. 2000; 120(3):505-512 Doi: 10.1067/mtc.2000.108162 [OPEN ACCESS]
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Co-authors Med Uni Graz: Kapfhammer Hans-Peter; Rothenhäusler Hans-Bernd
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Abstract:: OBJECTIVES: Health-related quality of life and patient satisfaction have become important end points in cardiac surgery. Post-traumatic stress disorder has been described in patients with life-threatening heart disease. In this study, we investigated the occurrence of post-traumatic stress disorder in a sample of patients after cardiac surgery and compared health-related quality of life and patient satisfaction between patients with and without evidence of post-traumatic stress disorder. METHODS: We studied 80 patients serially admitted to the intensive care unit after cardiac surgery (bypass grafting, n = 51; aortic valve replacement, n = 29). Health-related quality of life was assessed with the use of the SF-36 Health Status Questionnaire. Post-traumatic stress disorder was measured with a previously validated instrument (the Post-Traumatic Stress Syndrome 10-Questions Inventory), and 20 different aspects of life satisfaction were quantified on a scale ranging from 0 to 10. For measurements of health-related quality of life and post-traumatic stress disorder, age- and gender-comparable healthy individuals, as well as patients with cardiovascular diseases, served as control groups. RESULTS: Patients who had cardiac surgery described high life satisfaction summary scores (156 of a maximum of 200 points) and only small impairments in physical and mental SF-36 summary scores when compared with healthy control groups (median reduction 7.15, P <.05). Patients with evidence of post-traumatic stress disorder (n = 15) reported the lowest SF-36 mental health summary scores when compared with patients without stress disorder (38.3 vs 48.4, P =.004) and rated their life satisfaction lower (121.5 vs 162.0, P =.002). CONCLUSIONS: Patients who have had cardiac surgery demonstrate a high life satisfaction with an acceptable degree of physical and mental health-related quality of life. Impairments in psychosocial function and life satisfaction were found in a subgroup of patients with evidence of post-traumatic stress disorder.
Find related publications in this database (using NLM MeSH Indexing): Aged -; Cardiac Surgical Procedures -; Coronary Artery Bypass -; Female -; Health Status -; Heart Valve Prosthesis Implantation -; Humans -; Intensive Care -; Male -; Middle Aged -; Personal Satisfaction -; Quality of Life -; Stress Disorders, Post-Traumatic - complications