Age and Ageing, Vol 29, 329-334, Copyright © 2000 by British Geriatrics Society
S Chocron, E Tatou, B Schjoth, G Naja, F Clement, J Viel and J Etievent
Aim: to evaluate improvement and predictors of
improvement in patients' perceived health status after cardiac surgery in
older patients.Methods: three hundred and
seventy-seven patients from three different departments of cardiac surgery
completed the Nottingham Health Profile questionnaire before and 1 and 2
years after open-heart surgery. We analysed pre- and post-operative data
and pre- and postoperative Nottingham Health Profile
scores.Results: the mean age was 74
ARTICLES
Perceived health status in patients over 70 before and after open-heart operations
Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, 25030 Besançon Cedex, France; Departments of Thoracic and Cardiovascular Surgery, Hôpital du Bocage, Dijon, and Hôpital de Brabois, Nancy, France; Department of Public Health, Hôpital Saint-Jacques, Besançon, France; Corresponding author; e-mail: chocron@usa.net
3 years. The comparison between pre- and
postoperative scores showed an improvement in all but the social isolation
section. Logistic regression showed that the predictors of patients who
became worse after surgery were (i) in the energy section: age over 75
[odds radio (OR) = 1.8, 95% confidence interval (CI) = 1.02-3.2], coronary
artery disease (OR = 2.4, 95% CI = 1.04-3.6) and postoperative events (OR =
1.9, 95% CI = 1.01-3.7); (ii) in the physical mobility section: diabetes
mellitus (OR = 2.4, 95% CI = 1.2-4.7); and (iii) in the social isolation
section: physical mobility impairment (OR = 3.4, 95% CI =
1.3-8.7)Conclusions: cardiac surgery improves
perceived health status in patients over 70. This improvement is better for
those undergoing aortic valve replacement than for those undergoing
coronary artery bypass surgery. Comparison with reference scores for a
standard population shows that, even when successful, cardiac surgery
results in fatigue and persistent sleep disturbance in older
patients.Keywords: aged, cardiac surgical procedures,
prospective studies, quality of life, questionnaires
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