Health outcomes of patients undergoing cardiac surgery: Repeated measures using Short Form-36 and 15 Dimensions of Quality of Life questionnaire

Elliott, D; Lazarus, R; Leeder, SR

Health outcomes of patients undergoing cardiac surgery: Repeated measures using Short Form-36 and 15 Dimensions of Quality of Life questionnaire

Elliott, D

Lazarus, R Leeder, SR

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Publication Type:: Journal Article
Citation:: Heart and Lung: Journal of Acute and Critical Care, 2006, 35 (4), pp. 245 - 251
Issue Date:: 2006-07-01

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Field	Value	Language
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.contributor.author	Lazarus, R	en_US
dc.contributor.author	Leeder, SR	en_US
dc.date.available	2005-10-03	en_US
dc.date.issued	2006-07-01	en_US
dc.identifier.citation	Heart and Lung: Journal of Acute and Critical Care, 2006, 35 (4), pp. 245 - 251	en_US
dc.identifier.issn	0147-9563	en_US
dc.identifier.uri	http://hdl.handle.net/10453/4642
dc.description.abstract	Objective: The study assessed health-related quality of life (HRQOL) of patients before and after cardiac surgery. Design: This was a prospective repeated-measures observational study. Setting: The study took place in a 650-bed tertiary referral hospital in Sydney, Australia. Methods: HRQOL was measured using the Medical Outcomes Study Short Form 36-item health survey (SF-36) and the 15 Dimensions of Quality of Life questionnaire before surgery, at hospital discharge, and 6 months postdischarge. Results: Participants were representative of the cardiac surgery population. Scores for several concepts deteriorated at hospital discharge when compared with presurgery. There were significant improvements in health status at 6 months postdischarge when compared with previous measures for the majority of SF-36 and 15 Dimensions of Quality of Life questionnaire concepts, although mental health and social functioning demonstrated significant deterioration. SF-36 scores were substantially lower than population norms, but similar to previous studies of patients undergoing cardiac surgery except for mental health. Conclusion: Deterioration in health status at hospital discharge when compared with presurgery status reinforces the need for further patient care and support after discharge. All dimensions improved after 6 months, except mental health. This information can guide patient expectations regarding rehabilitation posthospitalization, and cardiac surgical services should implement and evaluate formal "outreach programs" for these patients. © 2005 Mosby, Inc. All rights reserved.	en_US
dc.relation.ispartof	Heart and Lung: Journal of Acute and Critical Care	en_US
dc.relation.isbasedon	10.1016/j.hrtlng.2005.10.004	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Heart Diseases	en_US
dc.subject.mesh	Prognosis	en_US
dc.subject.mesh	Cardiac Surgical Procedures	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Health Status	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Health outcomes of patients undergoing cardiac surgery: Repeated measures using Short Form-36 and 15 Dimensions of Quality of Life questionnaire	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	35	en_US
utslib.for	111003 Clinical Nursing: Secondary (Acute Care)	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	35	en_US

Abstract:

Objective: The study assessed health-related quality of life (HRQOL) of patients before and after cardiac surgery. Design: This was a prospective repeated-measures observational study. Setting: The study took place in a 650-bed tertiary referral hospital in Sydney, Australia. Methods: HRQOL was measured using the Medical Outcomes Study Short Form 36-item health survey (SF-36) and the 15 Dimensions of Quality of Life questionnaire before surgery, at hospital discharge, and 6 months postdischarge. Results: Participants were representative of the cardiac surgery population. Scores for several concepts deteriorated at hospital discharge when compared with presurgery. There were significant improvements in health status at 6 months postdischarge when compared with previous measures for the majority of SF-36 and 15 Dimensions of Quality of Life questionnaire concepts, although mental health and social functioning demonstrated significant deterioration. SF-36 scores were substantially lower than population norms, but similar to previous studies of patients undergoing cardiac surgery except for mental health. Conclusion: Deterioration in health status at hospital discharge when compared with presurgery status reinforces the need for further patient care and support after discharge. All dimensions improved after 6 months, except mental health. This information can guide patient expectations regarding rehabilitation posthospitalization, and cardiac surgical services should implement and evaluate formal "outreach programs" for these patients. © 2005 Mosby, Inc. All rights reserved.

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http://hdl.handle.net/10453/4642