Patients With a Prolonged Intensive Care Unit Length of Stay Have Decreased Health-Related Quality of Life After Cardiac Surgery.

Seminars in Thoracic and Cardiovascular Surgery
K BarrieRakesh C Arora

Abstract

Cardiac surgery patients with a prolonged ICU length of stay (prICULOS) have lower rates of functional survival following their procedure, however detailed information on their health related quality of life (HRQoL) is lacking. We sought to investigate the potential need for intervention in these high-risk patients through comprehensive HRQoL assessments in the months to year following their surgery. A prospective, observational pilot study was undertaken and cardiac surgery patients with a prICULOS (ICU length of stay of ≥5 days) were recruited. A control group was obtained through recruitment of cardiac surgery patients with an ICU length of stay of <5 days. In-person clinical or telephone survey HRQoL assessments were completed at 3-6 months and 1-year time points after their procedure. The standardized mean difference (SMD) was calculated for all study variable comparisons to quantify the standardized effect size observed between non-prICULOS and prICULOS patients. 789 cardiac procedures were performed during the study period and 89 patients experienced a prICULOS (10.7%). Of these 89 patients, 35 prICULOS patients were recruited along with 35 controls. 29 out of 35 prICULOS patients completed the study (83%). At the 3-6 mo...Continue Reading

Citations

Mar 30, 2019·BMC Cardiovascular Disorders·Pierre WauthyRedente Tortora
Aug 26, 2020·Journal of Cardiac Surgery·Ursula F Mackie-Savage, Judith Lathlean
Aug 18, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Melissa S SkoffJonathan F Fox
Aug 30, 2020·The Journal of Thoracic and Cardiovascular Surgery·Christopher DubielRakesh C Arora

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