206341 Health-Related Quality of Life of those Aged 65 or Older after Open-Heart Surgery

Monday, November 9, 2009: 10:45 AM

Lisa M. Martin, PhD , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Linda L. Henry, PhD, RN , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Lori E. Stone, BS , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Chidima T. Martin, BS , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Scott D. Barnett, PhD , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Sharon L. Hunt, MBA , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Niv Ad, MD , Department of Cardiac Surgery Research, Inova Heart & Vascular Institute, Falls Church, VA
Introduction: Health-related quality of life (HRQL) of the aged is important as people are living longer. Open-heart surgery is common in this population; average age of patients ~65 years. The purpose of this study was to examine HRQL of individuals 65> who underwent open-heart surgery.

Methods: 148 patients age 65> completed HRQL at time of surgery, one and 2 years post-surgery. Age was categorized 65-74 and 75>. HRQL using the SF-12 Mental Component Summary (MCS) and Physical Component Summary (PCS) was compared to US population norms.

Results: Subjects were primarily male (76.5%), presented mainly for coronary artery bypass (69.3%), and were primarily married (58.2%). At time of surgery, age 65-74 were above the norms in MCS (54.58.1 vs. 51.578.36, p<0.000) but were similar in PCS (44.112.2 vs. 43.939.29, p=0.889). Age 75> were above norms in both domains: MCS 52.211.0 vs. 48.899.33, p<0.05; PCS 43.38.7 vs. 39.759.30, p<0.01. One year post-surgery, age 65-74 were higher in both domains than norms (MCS 54.56.8 vs. 51.578.36, p<0.000; PCS 48.59.9 vs. 43.99.29, p<0.000). Age 75> was higher in MCS (MCS 53.58.2 vs. 48.899.33, p<0.000; PCS 42.510.5 vs. 39.759.30, p=0.079). Two years post-surgery, age 65-74 were higher in both domains (MCS 55.27.8 vs. 51.578.36, p<0.000; PCS 46.611.1 vs. 43.939.29, p<0.01). Age 75> was significant in MCS (MCS 54.57.7 vs. 48.899.33, p<0.000; PCS 41.811.8 vs. 39.759.30, p=0.239). Conclusion: Those 65> who undergo open-heart surgery can expect to be at or above norms in HRQL coming in to surgery as well as one and two years post-surgery.

Learning Objectives:
Describe the health-related quality of life of those aged 65 and older who have undergone open-heart surgery as compared to the US population norms.

Keywords: Quality of Life, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research is solely focused on the measurement of health-related quality of life and outcomes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.