|
|
||||||||||
|
J Am Coll Cardiol, 2003; 42:1208-1214, doi:10.1016/S0735-1097(03)00949-5 © 2003 by the American College of Cardiology Foundation |





||,*
* Division of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
Department of Medicine, Division of Cardiology, Emory University School of Medicine, and Rollins School of Public Health, Atlanta, Georgia, USA
Section of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA
|| Section of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Manuscript received December 31, 2002; revised manuscript received March 12, 2003, accepted April 10, 2003.
* Reprint requests and correspondence: Dr. Harlan M. Krumholz, Yale University School of Medicine, 333 Cedar Street, P. O. Box 208025, New Haven, Connecticut 06520-8025, USA.
harlan.krumholz{at}yale.edu
OBJECTIVES: We sought to determine the association of age with the change in quality of life (QOL) after valve surgery.
BACKGROUND: Improvement in QOL is one of the principal goals of valve surgery. These procedures are being done with increasing frequency for older patients.
METHODS: We prospectively studied 148 patients with aortic valve procedures and 72 patients with mitral valve procedures. Patients' QOL was measured at baseline and at 18 months using the Medical Outcomes Trust Short Form 36-Item (SF-36) Health Survey (response rate 90%). The association of age with change in QOL was measured by multiple regression analysis and based on two meta-scores of the SF-36: the Mental Component Summary (MCS) and the Physical Component Summary (PCS).
RESULTS: Overall improvement in most domains of the SF-36, including the MCS and the PCS scores, was substantial. Improvement in the MCS score was not influenced by age in either aortic (0.09 score point improvement per 10-year age increments; p = 0.9) or mitral (0.90 score point improvement per 10-year age increments; p = 0.3) patients. Similarly, improvement in the PCS score did not vary by age in aortic patients (1.00 score points per 10-year age increments; p = 0.2) and only slightly varied by age in mitral patients (1.90 score points per 10-year age increments, p = 0.02). In the latter, despite statistical significance, the association was not substantial or clinically important.
CONCLUSIONS: Among patients referred for cardiac valve surgery, age does not appear to limit the QOL benefits of surgery.
| ||||||||||||||||||
This article has been cited by other articles:
![]() |
J. J. Jokinen, M. J. Hippelainen, T. Hanninen, A. K. Turpeinen, and J. E.K. Hartikainen Prospective assessment of quality of life of octogenarians after cardiac surgery: factors predicting long-term outcome Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 813 - 818. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Gorman Koch, F. Khandwala, and E. H. Blackstone Health-Related Quality of Life After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2008; 12(3): 203 - 217. [Abstract] [PDF] |
||||
![]() |
M. Vicchio, A. Della Corte, L. S. De Santo, M. De Feo, G. Caianiello, M. Scardone, and M. Cotrufo Tissue Versus Mechanical Prostheses: Quality of Life in Octogenarians Ann. Thorac. Surg., April 1, 2008; 85(4): 1290 - 1295. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. J. Jokinen, M. J. Hippelainen, O. A. Pitkanen, and J. E.K. Hartikainen Mitral Valve Replacement Versus Repair: Propensity-Adjusted Survival and Quality-of-Life Analysis Ann. Thorac. Surg., August 1, 2007; 84(2): 451 - 458. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Rosborough Cardiac Surgery in Elderly Patients: Strategies to Optimize Outcomes Crit. Care Nurse, October 1, 2006; 26(5): 24 - 31. [Full Text] [PDF] |
||||
![]() |
C. G. Koch, F. Khandwala, F. G. Estafanous, F. D. Loop, and E. H. Blackstone Impact of Prosthesis-Patient Size on Functional Recovery After Aortic Valve Replacement Circulation, June 21, 2005; 111(24): 3221 - 3229. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. M. Krumholz The year in health care delivery and outcomes research J. Am. Coll. Cardiol., September 1, 2004; 44(5): 1130 - 1136. [Full Text] [PDF] |
||||
![]() |
A. N. DeMaria, O. Ben-Yehuda, D. Berman, G. K. Feld, B. H. Greenberg, J. D. Knoke, K. U. Knowlton, W. Y. W. Lew, and S. Tsimikas Highlights of the year in JACC 2003 J. Am. Coll. Cardiol., December 17, 2003; 42(12): 2156 - 2166. [Full Text] [PDF] |
||||
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |