Health-Related Quality of Life in Thoracic Aortic Disease: Part II. After Surgery on the Proximal (Root, Ascending, Arch) Aorta

Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital
Christian Olsson, Anders Franco-Cereceda

Abstract

Health-related quality of life (HRQOL) has been reported to be near-to-normal after operations on the proximal aorta. However, a thorough evaluation of variables related to postoperative HRQOL is lacking. We report HRQOL after surgery on the proximal aorta acknowledging current symptoms and conditions. If modifiable factors affect HRQOL, surgical treatment could be tailored to optimize outcomes. The short form 36 item (SF-36) questionnaire was used to measure HRQOL in eight domains and a physical component summary (PCS) and mental component summary (MCS) score. Median differences (Δ) between the component summary scores and a sex- and age-matched reference group from the general population were the primary outcome measures, along with comparisons of patient subgroups according to pathology (aneurysm versus dissection), aortic valve procedure, and circulatory arrest. In 207 patients operated on the proximal aorta, after a mean of three years, there were no significant differences in median PCS (Δ = -0.3 [95% confidence limits -2.6, 2.0]) and MCS (Δ = 1.7 [-0.4, 2.9]) scores compared to the reference group, but median scores for the physical functioning, general health, and mental health domains were significantly lower. There we...Continue Reading

Citations

Sep 15, 2017·General Thoracic and Cardiovascular Surgery·Frederiek de HeerJohanna J M Takkenberg
Mar 13, 2019·International Angiology : a Journal of the International Union of Angiology·Oksana KamenskayaAlexander Karaskov
Jan 22, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sven PeterssChristian Hagl
Jun 25, 2014·Clinical Hemorheology and Microcirculation·Jan GoedekeMarkus Kamler
Dec 14, 2019·Circulation. Arrhythmia and Electrophysiology·Peter T HuBruce L Wilkoff
Feb 2, 2021·Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē·Eftihia SbarouniVassilis Voudris
Jul 17, 2021·Seminars in Thoracic and Cardiovascular Surgery·Christopher J SmolockUNKNOWN Cleveland Clinic Aortic Center (see Acknowledgement)

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