Evidence map›Paper›PMID 39325084›Full record

ArticleJournal of patient-reported outcomes2024

Characteristics of longitudinal changes in quality of life and associated factors in patients post cardiac and thoracic aortic surgery: insights from a prospective cohort study.

Masaaki Sato, Hitoshi Mutai, Shuhei Yamamoto, Daichi Tsukakoshi, Keisuke Furuhashi, Hajime Ichimura, Yuko Wada, Tatsuichiro Seto, Hiroshi Horiuchi

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In one paragraph

Article in Journal of patient-reported outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Masaaki SatoDivision of Occupational Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan.
Hitoshi MutaiDivision of Occupational Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan. hitmutai@shinshu-u.ac.jp.ORCID 0000-0002-5742-1880
Shuhei YamamotoDepartment of Rehabilitation, Shinshu University Hospital, Matsumoto, Japan.
Daichi TsukakoshiDepartment of Rehabilitation, Shinshu University Hospital, Matsumoto, Japan.
Keisuke FuruhashiDepartment of Rehabilitation, Shinshu University Hospital, Matsumoto, Japan.
Hajime IchimuraDivision of Cardiovascular Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Yuko WadaDivision of Cardiovascular Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Tatsuichiro SetoDivision of Cardiovascular Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hiroshi HoriuchiDepartment of Rehabilitation, Shinshu University Hospital, Matsumoto, Japan.

Funding

Japan Society for the Promotion of Science 19K19791
6 · The paper itself

Abstract

backgroundAlthough quality of life (QOL) is an outcome of postoperative cardiac rehabilitation (CR), its course and related factors from postoperative hospitalization to the post-discharge period have not been adequately investigated. Additionally, the EuroQol-5Dimension-5Level (EQ-5D-5L) index score has not been characterized over the same period. We aimed to characterize QOL changes assessed by the EQ-5D-5L, over the period from hospitalization to 1 year post-discharge, in patients post-cardiac and thoracic aortic surgery, and investigate the factors associated with these temporal changes. METHODOLOGY: This prospective, single-center study included 117 patients who underwent open cardiovascular surgery (median age, 72 years; men, 69%). Patients were assessed for QOL status when transferred to the general ward; at discharge; and at 6 and 12 months after discharge, using the EQ-5D-5L index score and a generalized linear mixed model with random intercepts. Patients were classified into two groups based on score changes post-discharge. Logistic regression analysis evaluated factors associated with QOL decrease post-discharge.

resultsThe EQ-5D-5L index score significantly increased over time, except between 6 and 12 months post-discharge; "Common activities" was the most common dimension showing score improvement. In 25 patients (21%), the EQ-5D-5L index scores were lower after discharge compared to their scores at discharge. In the logistic regression analysis, Barthel Index pre-admission, preoperative hemoglobin level, and Mini-Mental State Examination-Japanese scores pre-discharge were significantly associated with QOL decline after adjusting for the European System for Cardiac Operative Risk Evaluation II score.

conclusionsMost patients post-cardiac or thoracic aortic surgery experienced improved QOL from postoperative hospital stay to 1 year post-discharge. However, in patients with pre-operative basic activities of daily living, hemoglobin and post-operative cognitive decline may require ongoing comprehensive CR because of reduced QOL. Given the potential selection bias introduced by the relatively small sample size in this study, future research involving larger populations is necessary.

Indexed as

Aorta, ThoracicQuality of LifeAgedCardiac Surgical ProceduresFemaleHumansLongitudinal StudiesMaleMiddle AgedPatient DischargePostoperative PeriodProspective StudiesActivities of daily livingCardiac rehabilitationCardiovascular surgeryCognitive impairmentQuality of life

Identifiers

PMID39325084
PMCPMC11427642

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.