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Perceived health status in patients over 70 before and after open-heart operations
Author(s)Sidney Chocron, Etienne Tatou, Bruno Schjoth
Journal titleAge and Ageing, vol 29, no 4, July 2000
Pagespp 329-334
KeywordsOver 70s ; Health [elderly] ; Quality of life ; Heart disease ; Surgery ; France.
Annotation377 patients (mean age 74) from three different departments of cardiac surgery in Nancy, France completed the Nottingham Health Profile (NHP) questionnaire before and 1 and 2 years after open-heart surgery. Pre- and post-operative data as well as NHP scores were analysed. The comparison between pre- and post-operative scores showed an improvement in all but the social isolation section. Logistic regression showed that predictors of patients who became worse after surgery were (1) in the energy section: age over 75, coronary heart disease, and post-operative events; (2) in the physical mobility section: diabetes mellitus; and (3) in the social isolation section: physical mobility impairment. Cardiac surgery improves perceived health status in patients over 70. The improvement is better for those undergoing aortic valve replacement than 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. (RH).
Accession NumberCPA-000824236 A
ClassmarkBBK: CC: F:59: CQH: LKA: 765

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