Impact of marital status and comorbid disorders on health-related quality of life after cardiac surgery
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Impact of marital status and comorbid disorders on health-related quality of life after cardiac surgery Ann Kristin Bjørnnes1,2 • Monica Parry1 • Ragnhild Falk3 • Judy Watt-Watson1 Irene Lie4 • Marit Leegaard5
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Accepted: 3 May 2017 Ó Springer International Publishing Switzerland 2017
Abstract Purpose To explore associations between HRQL, marital status, and comorbid disorders in men and women following cardiac surgery. Method A secondary analysis was completed using data from a randomized controlled trial in which 416 individuals (23% women) scheduled for elective coronary artery bypass graft and/or valve surgery were recruited between March 2012 and September 2013. HRQL was assessed using the Health State Descriptive System (15D) preoperatively, then at 2 weeks, and at 3, 6, and 12 months following cardiac surgery. Linear mixed model analyses were performed to explore associations between HRQL, social support, and comorbid disorders. Results The overall 15D scores for the total sample improved significantly from 2 weeks to 3 months post The study was conducted at the Departments of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway & Ann Kristin Bjørnnes [email protected]
surgery, with only a gradual change observed from 3 to 12 months. Thirty percent (n = 92) of the total sample reported a lower 15D total score at 12 months compared to preoperative status, of whom 78% (n = 71) had a negative minimum important differences (MID), indicating a worse HRQL status. When adjusted for age and marital status, women had statistically significant lower 15D total scores compared to men at 3, 6, and 12 months post surgery. Compared to pre-surgery, improvement was demonstrated in 4 out of 15 dimensions of HRQL for women, and in 6 out of 15 dimensions for men at 12 months post surgery. Both men and women associated back/neck problems, depression, and persistent pain intensity with lower HRQL; for women, not living with a partner/spouse was associated with lower HRQL up to 12 months. Conclusion Women experienced decreased HRQL and a slower first-year recovery following cardiac surgery compared to men. This study demonstrates a need for follow-up
2
Monica Parry [email protected]
Division of Emergencies and Critical Care, Department of Research and Development, Oslo University Hospital, Oslo, Norway
3
Ragnhild Falk [email protected]
Oslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway
4
Division of Cardiovascular and Pulmonary Diseases, Department of Cardiothoracic Surgery, Ulleva˚l/Center for Patient Centered Heart- and Lung Research, Oslo University Hospital, Oslo, Norway
5
Faculty of Health Sciences, Institute of Nursing, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
Judy Watt-Watson [email protected] Irene Lie [email protected] Marit Leegaard [email protected] 1
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON M5T 1
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