Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life?
Introduction: Aortic valve replacement surgery is done to increase patients’ life expectancy and improve their health-related quality of life. Several published studies have found improvement in health-related quality of life after this procedure, but none have involved patients in Portugal. This st...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2018-08-01
|
| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10241 |
| _version_ | 1819163342929920000 |
|---|---|
| author | Pedro Coelho Lara Noronha Ferreira Clara Vital José Fragata |
| author_facet | Pedro Coelho Lara Noronha Ferreira Clara Vital José Fragata |
| author_sort | Pedro Coelho |
| collection | DOAJ |
| description | Introduction: Aortic valve replacement surgery is done to increase patients’ life expectancy and improve their health-related quality of life. Several published studies have found improvement in health-related quality of life after this procedure, but none have involved patients in Portugal. This study sought to evaluate patients’ health-related quality of life after the implantation of aortic prostheses and compare these values with preoperative health-related quality of life and the general Portuguese population’s health-related quality of life.
Material and Methods: A retrospective study was done with elective patients who underwent implantation of an aortic prosthesis between August 2011 and April 2016. Health-related quality of life was evaluated using the Short Form 36 Health Survey and Short Form 6 Health Survey questionnaires in the preoperative period and 3, 6 and 12 months post-surgery. Descriptive and inferential analyses were conducted to process the data and compare preoperative health-related quality of life with postoperative values and the Portuguese population’s norms.
Results: The sample included 506 patients with an average age of 70.6 years. The majority are male (53.6%). The postoperative results show a statistically significant improvement compared to preoperative health-related quality of life in all eight dimensions of the Short Form 36 Health Survey. When contrasted with the general Portuguese population, patients’ health-related quality of life is lower in the preoperative period, improving postoperatively and reaching higher than average health-related quality of life levels in some subgroups of patients and in various dimensions. An analysis of the Short Form 6 Health Survey results revealed that the patients undergoing this surgery have a higher level of preoperative problems compared with the general population, but these patients’ values approach those of the general population by the end of one year post-surgery.
Discussion: This is the first study in Portugal that compares health-related quality of life using a validated scale, before and after the aortic prosthesis implantation surgery. The results demonstrate a significant improvement in all dimensions, which is not consistently observed in other published studies.
Conclusion: The results confirm that the implantation of aortic prostheses improves patients’ health-related quality of life, over time bringing it close to the general population’s levels. |
| first_indexed | 2024-12-22T17:42:37Z |
| format | Article |
| id | doaj.art-9da33789716c42a1adc67e4a51c23686 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-12-22T17:42:37Z |
| publishDate | 2018-08-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-9da33789716c42a1adc67e4a51c236862022-12-21T18:18:22ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-08-01317-839940810.20344/amp.102414732Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life?Pedro Coelho0Lara Noronha Ferreira1Clara Vital2José Fragata3Serviço de Cirurgia Cardiotorácica. Hospital de Santa Marta. Centro Hospitalar de Lisboa Central. Lisboa. Faculdade de Ciências Médicas. Universidade Nova de Lisboa. Lisboa.Escola Superior de Gestão, Hotelaria e Turismo. Universidade do Algarve. Faro. Centro de Estudos e Investigação em Saúde. Universidade de Coimbra. Coimbra.Serviço de Cirurgia Cardiotorácica. Hospital de Santa Marta. Centro Hospitalar de Lisboa Central. Lisboa.Serviço de Cirurgia Cardiotorácica. Hospital de Santa Marta. Centro Hospitalar de Lisboa Central. Lisboa. Faculdade de Ciências Médicas. Universidade Nova de Lisboa. Lisboa.Introduction: Aortic valve replacement surgery is done to increase patients’ life expectancy and improve their health-related quality of life. Several published studies have found improvement in health-related quality of life after this procedure, but none have involved patients in Portugal. This study sought to evaluate patients’ health-related quality of life after the implantation of aortic prostheses and compare these values with preoperative health-related quality of life and the general Portuguese population’s health-related quality of life. Material and Methods: A retrospective study was done with elective patients who underwent implantation of an aortic prosthesis between August 2011 and April 2016. Health-related quality of life was evaluated using the Short Form 36 Health Survey and Short Form 6 Health Survey questionnaires in the preoperative period and 3, 6 and 12 months post-surgery. Descriptive and inferential analyses were conducted to process the data and compare preoperative health-related quality of life with postoperative values and the Portuguese population’s norms. Results: The sample included 506 patients with an average age of 70.6 years. The majority are male (53.6%). The postoperative results show a statistically significant improvement compared to preoperative health-related quality of life in all eight dimensions of the Short Form 36 Health Survey. When contrasted with the general Portuguese population, patients’ health-related quality of life is lower in the preoperative period, improving postoperatively and reaching higher than average health-related quality of life levels in some subgroups of patients and in various dimensions. An analysis of the Short Form 6 Health Survey results revealed that the patients undergoing this surgery have a higher level of preoperative problems compared with the general population, but these patients’ values approach those of the general population by the end of one year post-surgery. Discussion: This is the first study in Portugal that compares health-related quality of life using a validated scale, before and after the aortic prosthesis implantation surgery. The results demonstrate a significant improvement in all dimensions, which is not consistently observed in other published studies. Conclusion: The results confirm that the implantation of aortic prostheses improves patients’ health-related quality of life, over time bringing it close to the general population’s levels.https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10241Implante de Prótese de Válvulas CardíacasInquéritos e QuestionáriosQualidade de VidaVálvula Aórtica/cirurgia |
| spellingShingle | Pedro Coelho Lara Noronha Ferreira Clara Vital José Fragata Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? Acta Médica Portuguesa Implante de Prótese de Válvulas Cardíacas Inquéritos e Questionários Qualidade de Vida Válvula Aórtica/cirurgia |
| title | Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? |
| title_full | Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? |
| title_fullStr | Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? |
| title_full_unstemmed | Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? |
| title_short | Does Aortic Valve Replacement Surgery Improve Patients’ Quality of Life? |
| title_sort | does aortic valve replacement surgery improve patients quality of life |
| topic | Implante de Prótese de Válvulas Cardíacas Inquéritos e Questionários Qualidade de Vida Válvula Aórtica/cirurgia |
| url | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10241 |
| work_keys_str_mv | AT pedrocoelho doesaorticvalvereplacementsurgeryimprovepatientsqualityoflife AT laranoronhaferreira doesaorticvalvereplacementsurgeryimprovepatientsqualityoflife AT claravital doesaorticvalvereplacementsurgeryimprovepatientsqualityoflife AT josefragata doesaorticvalvereplacementsurgeryimprovepatientsqualityoflife |