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Does Aortic Valve replacement surgery improve patients' Quality of Life?

2018-08Journal article Open access
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dc.contributor.authorCoelho, Pedro
dc.contributor.authorFerreira, Lara
dc.contributor.authorVital, Clara
dc.contributor.authorFragata, José
dc.date.accessioned2018-12-07T14:53:23Z
dc.date.available2018-12-07T14:53:23Z
dc.date.issued2018-08
dc.description.abstractIntroduction: Aortic valve replacement surgery is done to increase patients' life expectancy and improve their health-related quality of life. Several published studies have found improvement in health-related quality of life after this procedure, but none have involved patients in Portugal. This study sought to evaluate patients' health-related quality of life after the implantation of aortic prostheses and compare these values with preoperative health-related quality of life and the general Portuguese population's health-related quality of life. Material and Methods: A retrospective study was done with elective patients who underwent implantation of an aortic prosthesis between August 2011 and April 2016. Health-related quality of life was evaluated using the Short Form 36 Health Survey and Short Form 6 Health Survey questionnaires in the preoperative period and 3, 6 and 12 months post-surgery. Descriptive and inferential analyses were conducted to process the data and compare preoperative health-related quality of life with postoperative values and the Portuguese population's norms. Results: The sample included 506 patients with an average age of 70.6 years. The majority are male (53.6%). The postoperative results show a statistically significant improvement compared to preoperative health-related quality of life in all eight dimensions of the Short Form 36 Health Survey. When contrasted with the general Portuguese population, patients' health-related quality of life is lower in the preoperative period, improving postoperatively and reaching higher than average health-related quality of life levels in some subgroups of patients and in various dimensions. An analysis of the Short Form 6 Health Survey results revealed that the patients undergoing this surgery have a higher level of preoperative problems compared with the general population, but these patients' values approach those of the general population by the end of one year post-surgery. Discussion: This is the first study in Portugal that compares health-related quality of life using a validated scale, before and after the aortic prosthesis implantation surgery. The results demonstrate a significant improvement in all dimensions, which is not consistently observed in other published studies. Conclusion: The results confirm that the implantation of aortic prostheses improves patients' health-related quality of life, over time bringing it close to the general population's levels.
dc.identifier.doi10.20344/amp.10241
dc.identifier.issn1646-0758
dc.identifier.urihttp://hdl.handle.net/10400.1/11487
dc.language.isopor
dc.peerreviewedyes
dc.publisherOrdem Medicos
dc.subjectSf-6D Health States
dc.subjectOpen-Heart-Surgery
dc.subjectCardiac-Surgery
dc.subjectPopulation Norms
dc.subjectElderly-Patients
dc.subjectValue Set
dc.subjectSf-36
dc.subjectDisease
dc.subjectCardiology
dc.subjectStenosis
dc.titleDoes Aortic Valve replacement surgery improve patients' Quality of Life?
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/UID%2FMulti%2F04066%2F2013/PT
oaire.citation.endPage408
oaire.citation.issue07-ago
oaire.citation.startPage399
oaire.citation.titleActa Medica Portuguesa
oaire.citation.volume31
oaire.fundingStream5876
person.familyNameFerreira
person.givenNameLara
person.identifier.ciencia-id761A-3037-8E22
person.identifier.orcid0000-0003-2378-7750
person.identifier.ridB-7575-2019
person.identifier.scopus-author-id24491766400
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccess
rcaap.typearticle
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relation.isAuthorOfPublication.latestForDiscoverye93501ac-9707-4e92-bb2c-cc91bc09b428
relation.isProjectOfPublication84f7a400-d076-457e-bfca-5fe0d148c7e4
relation.isProjectOfPublication.latestForDiscovery84f7a400-d076-457e-bfca-5fe0d148c7e4

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