Health related quality of life after percutaneous coronary revascularisation in patients with previous coronary artery bypass grafts: A two-year follow up study

Viswanathan, Girish, Mayurathan, Gnanamoorthy, Hildreth, Anthony, Worthley, Stephen and Zaman, Azfar (2011) Health related quality of life after percutaneous coronary revascularisation in patients with previous coronary artery bypass grafts: A two-year follow up study. Applied Research in Quality of Life, 6 (3). pp. 311-324. ISSN 1871-2584

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Official URL: http://dx.doi.org/10.1007/s11482-010-9130-6

Abstract

Percutaneous coronary revascularisation [PCR] improves angina and health related quality of life [HRQOL] compared to standard medical therapy. It is unknown whether PCR has the same benefits for patients with a history of CABG. Over a period of 5 years, we assessed HRQOL of patients undergoing PCR using Part 1 of the Nottingham Health Profile [NHP] at baseline 3, 12 and 24 months. We compared HRQOL after PCR in 255 patients with CABG to 2680 without. There were more males [81.1% v 69.6% p = 0.002] and older patients [mean age 60.1 years v. 58.0 p = 0.03] in CABG group. Perceived HRQOL improved at 24 months for pain, energy and emotional reaction but the improvement was less in the CABG group. However, mean NHP scores at 24 months for those with CABG had returned to baseline levels for sleep [34.9] and for physical function was worse than at baseline [22.0 vs 30.7]. This relationship persisted after adjustment for male sex, history of previous MI and coronary stent usage. Patients with previous CABG had less improvement in HRQOL after PCR. Further work is needed to assess the benefits and cost effectiveness of PCR in these patients.

Item Type: Article
Uncontrolled Keywords: Percutaneous coronary revascularisation, coronary artery bypass surgery, health related quality of life, Nottingham health profile
Subjects: A300 Clinical Medicine
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Public Health and Wellbeing
Depositing User: Ellen Cole
Date Deposited: 04 Jan 2013 12:55
Last Modified: 10 Aug 2015 11:39
URI: http://nrl.northumbria.ac.uk/id/eprint/10654

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