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冠状动脉搭桥手术后2年生活质量改善的预测因素。

Predictors of Quality of Life Improvement after 2 Years of Coronary Artery Bypass Surgery.

作者信息

Peric Vladan, Stolic Radojica, Jovanovic Aleksandar, Grbic Rade, Lazic Bratislav, Sovtic Sasa, Borzanovic Milorad

机构信息

School of Medicine, University of Pristina, Kosovska Mitrovica, Serbia.

Dedinje Cardiovascular Institute, Belgrade, Serbia.

出版信息

Ann Thorac Cardiovasc Surg. 2017 Oct 20;23(5):233-238. doi: 10.5761/atcs.oa.16-00293. Epub 2017 Aug 1.

Abstract

PURPOSE

The aim was to examine the predictors of improvement of quality of life after 2 years of coronary artery bypass grafting (CABG).

METHODS

In all, 208 patients who underwent the elective CABG at the Institute for Cardiovascular Diseases Dedinje in Belgrade were contacted and examined 2 years after the surgery. All patients completed Nottingham Health Profile Questionnaire part one.

RESULTS

Two years after CABG, quality of life (QOL) in patients was significantly improved in all sections compared to preoperative period. Independent predictors of QOL improvement after 2 years of CABG were found to be serious angina under sections of physical mobility [p = 0.003, odds ratio (OR) = 1.76, 95% confidence interval (CI) 1.21-2.55], energy (p = 0.01, OR = 1.63, 95% CI: 1.11-2.38), sleep (p = 0.005, OR = 1.65, 95% CI: 1.16-2.35), pain (p <0.001, OR = 2.43, 95% CI: 1.57-3.77), absence of hereditary load in energy section (p = 0.002, OR = 0.35, 95% CI: 0.18-0.68), male sex in the sleep section (p = 0.03, OR = 0.43, 95% CI: 0.20-0.93), and absence of diabetes in pain section (p = 0.006, OR = 0.27, 95% CI: 0.10-0.68).

CONCLUSION

Predictors of improvement of QOL after 2 years of CABG are serious angina, absence of hereditary load, male sex, and absence of diabetes.

摘要

目的

旨在研究冠状动脉搭桥术(CABG)2年后生活质量改善的预测因素。

方法

总共联系了208例在贝尔格莱德德丁耶心血管疾病研究所接受择期CABG手术的患者,并在术后2年进行检查。所有患者均完成了诺丁汉健康状况问卷第一部分。

结果

CABG术后2年,与术前相比,患者生活质量(QOL)的所有方面均有显著改善。CABG术后2年QOL改善的独立预测因素在身体活动部分为严重心绞痛(p = 0.003,优势比[OR] = 1.76,95%置信区间[CI] 1.21 - 2.55)、精力(p = 0.01,OR = 1.63,95% CI:1.11 - 2.38)、睡眠(p = 0.005,OR = 1.65,95% CI:1.16 - 2.35)、疼痛(p <0.001,OR = 2.43,95% CI:1.57 - 3.77),精力部分无遗传负荷(p = 0.002,OR = 0.35,95% CI:0.18 - 0.68),睡眠部分为男性(p = 0.03,OR = 0.43,95% CI:0.20 - 0.93),疼痛部分无糖尿病(p = 0.006,OR = 0.27,95% CI:0.10 - 0.68)。

结论

CABG术后2年QOL改善的预测因素为严重心绞痛、无遗传负荷、男性及无糖尿病。

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