Quality of life in the very elderly after cardiac surgery:: A comparison of SF-36 between long-term survivors and an age-matched population
Quality of life in the very elderly after cardiac surgery:: A comparison of SF-36 between long-term survivors and an age-matched population
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DOI：
10.1159/000080179
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发表时间：
2004-01-01
期刊：
影响因子：
3.5
通讯作者：
Thulin, LI
中科院分区：
文献类型：
--
作者：
Sjögren, J;Thulin, LI
背景：老年人是西方国家人口中增长最快的部分。由于卫生保健资源有限，有必要对老年人的长期手术结果和生活质量进行严格的评估。目的：我们的目的是评估高龄患者心脏手术后的生活质量和长期生存率。研究方法：1990年至1993年，117例老年人在我科接受了主动脉瓣置换术、冠状动脉旁路移植术或联合手术。41例患者在随访时仍存活（平均8.3+/-1.9年）。41名长期存活者中有39名（95%）回答了生活质量问卷（SF-36）。这些分数与年龄匹配的人群进行了比较。结果：1年、5年和9年的总生存率分别为92.3+/-2.5%，65.0 +/-4.4%和37.9+/-5.2%。在SF-36的两个标题（身体疼痛和身体功能）中，我们的患者和一般瑞典老年人的评分存在显著差异。我们的病人表示较低的身体功能，但较少的疼痛相比，一般老年人口。在SF-36的8个标题中，有6个没有显著差异。结论：总体长期生存率与瑞典老年人相似。我们的长期存活者的术后后期生活质量与年龄匹配的人群相当。我们的研究结果支持这样一种观点，即选定的老年人可以接受心脏直视手术，长期生活质量良好。版权所有（C）2004 S. Karger AG，巴塞尔。
Background: Octogenarians are the fastest growing section of the population in Western countries. Since health care resources are limited, there is a need for critical evaluations of the long-term surgical outcome and quality of life in the elderly. Objectives: Our aim was to assess the quality of life and long-term survival after cardiac surgery in the very elderly. Methods: Between 1990 and 1993, 117 octogenarians underwent aortic valve replacement, coronary artery bypass grafting or combined surgery at our department. Forty-one patients were still alive at the time of follow-up (mean 8.3+/-1.9 years). Thirty-nine of the 41 long-term survivors (95%) answered a quality of life questionnaire (SF-36). The scores were compared with an age-matched population. Results: The overall survival at 1, 5 and 9 years was 92.3+/-2.5, 65.0+/-4.4 and 37.9+/-5.2%, respectively. A significant difference was identified between the scores of our patients and the general Swedish octogenarians in two SF-36 headings (Bodily Pain and Physical Functioning). Our patients indicated lower physical function, but less pain in comparison with the general aged population. There was no significant difference in six of the eight SF-36 headings. Conclusions: The overall long-term survival was similar to Swedish octogenarians. Late postoperative quality of life in our long-term survivors was comparable to an age-matched population. Our findings support the view that a selected population of elderly may undergo open heart surgery with good long-term quality of life. Copyright (C) 2004 S. Karger AG, Basel.