ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Andrew, M.J.
Right arrow Articles by Knight, J.L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Andrew, M.J.
Right arrow Articles by Knight, J.L.
Related Collections
Right arrow Coronary disease

Ann Thorac Surg 2002;73:S367
© 2002 The Society of Thoracic Surgeons

SUPPLEMENT: OUTCOMES 2001: SCIENTIFIC ABSTRACTS

The effect of neuropsychological deficits on quality of life 6 months after cardiac surgery

M.J. Andrew, BA, (Hons)a, R.A. Baker, PhDa, J.L. Knight, FRACSa

a Cardiac Surgery Research, Flinders Medical Centre, Adelaide, South Australia, Australia

Introduction. The impact of postoperative neuropsychological (NP) deficits on quality of life (QOL) after cardiac surgery is not well understood. The aim of this investigation was to determine the relationship between NP deficits and QOL 6 months after cardiac surgery.

Methods. With informed consent and institutional approval, 77 patients undergoing cardiac surgery were administered a NP battery preoperatively, before discharge, and 6 months postoperatively. NP deficits were defined using reliable change criteria. QOL was assessed preoperatively and 6 months postoperatively using standardized instruments (SF-36, Depression Anxiety Stress Scale [DASS], and Beck Depression Inventory [BDI]).

Results. Approximately 10% of patients exhibited deficits on at least two NP measures 6 months postoperatively. Significant improvement at 6-month follow-up was evident on all QOL measures. After controlling for preoperative QOL scores, 6-month NP deficits correlated significantly with 6-month SF-36 measures of general health, physical, physical role, and social functioning, DASS anxiety, and BDI depression. NP deficits were a significant multivariate predictor of 6-month physical functioning (p = 0.005), physical role functioning (p = 0.038), and DASS anxiety (p = 0.04). Other significant multivariate predictors of 6-month QOL included preoperative QOL scores, perioperative myocardial infarction, and length of stay.

Conclusions. NP deficits detected 6 months after cardiac surgery have a negative impact on QOL. These results highlight the importance of presurgical assessments of QOL in this population.





This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Andrew, M.J.
Right arrow Articles by Knight, J.L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Andrew, M.J.
Right arrow Articles by Knight, J.L.
Related Collections
Right arrow Coronary disease

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS