Document Detail


Quality of life and specific problems after cardiac surgery in adolescents and adults with congenital heart diseases.
MedLine Citation:
PMID:  15785299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Grown-ups with congenital heart disease (GUCH) constitute an increasing population. Some of them reach adulthood without intervention and may present with symptoms, some require first intervention or re-operation for various reasons. Although interventions become more and more frequent in these patients, limited knowledge exists on their quality of life (QoL). The aim of the present study was to analyze QoL in GUCH patients who underwent cardiac surgery after the age of 14 years. DESIGN: A total of 296 patients with a mean age of 35+/-16 years (range 14-72 years) were operated on at our institution between July 1987 and December 2000, mainly for atrial septal defect (ASD), outflow tract lesion, Marfan syndrome and co-arctation. Early mortality was 3.4%. During follow-up QoL was assessed with the short form 36 health survey questionnaire (SF-36) and an additional questionnaire focused on medical and psychosocial aspects. Results were analyzed for the total collective and in relation to the underlying congenital heart disease (CHD). RESULTS: Quality of life was excellent and similar to an age- and gender-matched standard population, except in patients following repair of complete AV-canal. The main restrictions in this group were found in the emotional aspect (62.5+/-29.9) and physical role function (60.5+/-25.0) and reflected in limitations of daily activity. CONCLUSION: Outcome and QoL in adolescents and adults with CHD is excellent and similar to that of an age- and gender-matched standard population. In the future special attention should be focused more strongly on medical follow-up and psychosocial problems in this increasing group of patients.
Authors:
Franz F Immer; Stefanie M Althaus; Pascal A Berdat; Hugo Saner; Thierry P Carrel
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  12     ISSN:  1741-8267     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-23     Completed Date:  2005-08-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  138-43     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, University Hospital, 3010 Bern, Switzerland. franz.immer@insel.ch
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Age Factors
Aged
Cardiac Surgical Procedures / methods,  psychology*
Female
Health Surveys
Heart Defects, Congenital / diagnosis,  psychology,  surgery*
Humans
Male
Middle Aged
Postoperative Complications / epidemiology,  psychology*
Pregnancy
Quality of Life*
Questionnaires
Retrospective Studies
Risk Assessment
Sex Factors
Sickness Impact Profile
Socioeconomic Factors
Switzerland

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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