ArticleThe Journal of cardiovascular nursing
Quality of life, health status, and depression: comparison between adolescents and adults after the Fontan procedure with healthy counterparts.
Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Educational attainment in patients with congenital heart disease: a comprehensive systematic review and meta-analysis.BMC cardiovascular disorders · 2021Pooled it
- Health-Related Quality of Life in Children, Adolescents, and Adults With a Fontan Circulation: A Meta-Analysis.Journal of the American Heart Association · 2020Pooled it
- Contemporary Management and Future Directions of Adults Living With a Fontan Circulation.JACC. Advances · 2026Review
- Quality of Life and Well-Being in Adults With Fontan Physiology: Findings From the Australian and New Zealand Fontan Registry Quality of Life Study.Journal of the American Heart Association · 2024Article
- Fontan Geometry and Hemodynamics Are Associated With Quality of Life in Adolescents and Young Adults.The Annals of thoracic surgery · 2022Article
- Health-related quality of life in Italian children and adolescents with congenital heart diseases.BMC cardiovascular disorders · 2022Article
- Neurodevelopmental and Mental Health Outcomes in Patients With Fontan Circulation: A State-of-the-Art Review.Frontiers in pediatrics · 2022Review
- Optimism despite profound uncertainty: school and social relationships in adolescents with single ventricle heart disease.Cardiology in the young · 2021Article
- Health-related quality of life in children with congenital heart disease aged 5 to 7 years: a multicentre controlled cross-sectional study.Health and quality of life outcomes · 2020Observational
- Caudate nuclei volume alterations and cognition and mood dysfunctions in adolescents with single ventricle heart disease.Journal of neuroscience research · 2020Article
- Poverty, quality of life and psychological wellbeing in adults with congenital heart disease in Chile.PloS one · 2020Article
- Reduced brain mammillary body volumes and memory deficits in adolescents who have undergone the Fontan procedure.Pediatric research · 2020Article
- Cardiovascular and Stroke Nursing Council Science in Review.Journal of the American Heart Association · 2019Article
- A multinational observational investigation of illness perceptions and quality of life among patients with a Fontan circulation.Congenital heart disease · 2018Observational
- Respiratory Training Late After Fontan Intervention: Impact on Cardiorespiratory Performance.Pediatric cardiology · 2018Article
- Regional brain gray matter changes in adolescents with single ventricle heart disease.Neuroscience letters · 2018Article
- Assessment of Quality of Life in Young Patients with Single Ventricle after the Fontan Operation.The Journal of pediatrics · 2016Observational
- High Overweight and Obesity in Fontan Patients: A 20-Year History.Pediatric cardiology · 2016Article
- Predictors of Memory Deficits in Adolescents and Young Adults with Congenital Heart Disease Compared to Healthy Controls.Frontiers in pediatrics · 2016Article
- Antecedents of self-care in adults with congenital heart defects.International journal of cardiology · 2015Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundQuality of life (QOL) in adolescents and adults who have undergone the Fontan procedure and are living with only 1 ventricle is presumed to be diminished.
objectivesThis study aimed to compare QOL, health status, and prevalence of depression in adolescents/adults after the Fontan procedure with healthy counterparts and to identify predictors of QOL in the Fontan group.
methodsUsing a comparative, cross-sectional design, 54 adolescents and adults with single ventricle congenital heart disease who have undergone the Fontan procedure were compared with 66 age-matched healthy counterparts. Quality of life, health status, depression, and social support were measured using the Satisfaction With Life Scale, Short Form Survey Version 2, Patient Health Questionnaire Depression Module, and Multidimensional Scale of Perceived Social Support. Clinical variables were abstracted from medical records. Predictors of QOL were determined using multiple linear regression.
resultsAdolescents and adults in the Fontan group reported lower physical health status (mean [SD] = 46.5 [9.3] vs mean [SD] = 55.9 [5.1], P < .001) and were more depressed (mean [SD] = 7.3 [5.9] vs mean [SD] = 4.5 [4.3], P < .004) than their healthy counterparts. There were no differences in QOL, mental health status, or social support between the 2 groups. Functional status (New York Heart Association class), depression, and social support accounted for 55% of the variance in QOL in the Fontan group.
conclusionsDespite lower levels of physical health, the QOL of Fontan patients was comparable with that of their healthy counterparts; this finding contradicts previous proxy reports, self-reports, and assumptions that QOL is lower in patients with complex single ventricle congenital heart disease. However, because Fontan patients were more depressed than their healthy counterparts, the need for early screening and detection is warranted.
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