90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study
Over the past years, minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. The value of patient-centered outcomes, including the quality of recovery after hospital discharge, is increasingly recognized. Identifying meaningful changes in postoperative func...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/9/2674 |
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| author | Jade Claessens Alaaddin Yilmaz Toon Mostien Silke Van Genechten Marithé Claes Loren Packlé Maud Pierson Jeroen Vandenbrande Abdullah Kaya Björn Stessel |
| author_facet | Jade Claessens Alaaddin Yilmaz Toon Mostien Silke Van Genechten Marithé Claes Loren Packlé Maud Pierson Jeroen Vandenbrande Abdullah Kaya Björn Stessel |
| author_sort | Jade Claessens |
| collection | DOAJ |
| description | Over the past years, minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. The value of patient-centered outcomes, including the quality of recovery after hospital discharge, is increasingly recognized. Identifying meaningful changes in postoperative function that might have a negative impact on patients without noticeable complications can provide a more comprehensive understanding of the impact on the patient’s life. In total, 209 patients were included in this trial. Of these, 193 patients underwent totally endoscopic cardiac surgery, 8 underwent cardiac surgery through a sternotomy, and 8 underwent transcatheter aortic valve implantation. Patients who previously underwent cardiac surgery were excluded. Quality of life was determined through the Short Form 36 and European Quality of Life-5 Dimensions questionnaires before the surgery and 14, 30, and 90 days afterward. In patients who underwent totally endoscopic cardiac surgery, the quality of life improved over the three time periods. The different domains of the questionnaire evolved in a positive manner. However, 14 days postoperatively, a decline in quality of life was noted, followed by a return to baseline at 30 days and an increase at 90 days. In conclusion, totally endoscopic cardiac surgery improves the quality of life 90 days after surgery. |
| first_indexed | 2024-03-10T04:00:26Z |
| format | Article |
| id | doaj.art-5f89f1c533ae41ed82538dc214d4df4c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:00:26Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5f89f1c533ae41ed82538dc214d4df4c2023-11-23T08:35:52ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-01119267410.3390/jcm1109267490-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort StudyJade Claessens0Alaaddin Yilmaz1Toon Mostien2Silke Van Genechten3Marithé Claes4Loren Packlé5Maud Pierson6Jeroen Vandenbrande7Abdullah Kaya8Björn Stessel9Faculty of Medicine and Life Sciences, UHasselt—Hasselt University, Agoralaan, 3590 Diepenbeek, BelgiumDepartment of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Anesthesiology, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Anesthesiology, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Anesthesiology, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Anesthesiology, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumDepartment of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, BelgiumFaculty of Medicine and Life Sciences, UHasselt—Hasselt University, Agoralaan, 3590 Diepenbeek, BelgiumOver the past years, minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. The value of patient-centered outcomes, including the quality of recovery after hospital discharge, is increasingly recognized. Identifying meaningful changes in postoperative function that might have a negative impact on patients without noticeable complications can provide a more comprehensive understanding of the impact on the patient’s life. In total, 209 patients were included in this trial. Of these, 193 patients underwent totally endoscopic cardiac surgery, 8 underwent cardiac surgery through a sternotomy, and 8 underwent transcatheter aortic valve implantation. Patients who previously underwent cardiac surgery were excluded. Quality of life was determined through the Short Form 36 and European Quality of Life-5 Dimensions questionnaires before the surgery and 14, 30, and 90 days afterward. In patients who underwent totally endoscopic cardiac surgery, the quality of life improved over the three time periods. The different domains of the questionnaire evolved in a positive manner. However, 14 days postoperatively, a decline in quality of life was noted, followed by a return to baseline at 30 days and an increase at 90 days. In conclusion, totally endoscopic cardiac surgery improves the quality of life 90 days after surgery.https://www.mdpi.com/2077-0383/11/9/2674quality of lifeclinical outcomestotally endoscopic cardiac surgery |
| spellingShingle | Jade Claessens Alaaddin Yilmaz Toon Mostien Silke Van Genechten Marithé Claes Loren Packlé Maud Pierson Jeroen Vandenbrande Abdullah Kaya Björn Stessel 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study Journal of Clinical Medicine quality of life clinical outcomes totally endoscopic cardiac surgery |
| title | 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study |
| title_full | 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study |
| title_fullStr | 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study |
| title_full_unstemmed | 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study |
| title_short | 90-Day Patient-Centered Outcomes after Totally Endoscopic Cardiac Surgery: A Prospective Cohort Study |
| title_sort | 90 day patient centered outcomes after totally endoscopic cardiac surgery a prospective cohort study |
| topic | quality of life clinical outcomes totally endoscopic cardiac surgery |
| url | https://www.mdpi.com/2077-0383/11/9/2674 |
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