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Bibliographic Information
  1. Survival and Quality of Life Following Elective Open-Heart Surgery | Article | NursingCenter
  2. Improving Outcomes and Quality of Life After CABG
  3. Connect With NursingCenter
  4. Why did the researchers do this particular study?
  5. Assessment and pathophysiology of pain in cardiac surgery

Our study has several strengths. We have used a 3-arm interventional design that allowed us to compare three different conditions. There was also a 6-month follow-up to track the training benefits over time. But, there are also some limitations that should be noted.

First, the CCRT used in this study was focused on attention and working memory, so further studies would benefit from targeting other cognitive functions including executive functions Rezapour et al. Another limitation of this study is related to the high rate of drop-out at 6-month follow-up that should be considered and controlled in future studies. In conclusion, the results obtained in this study with regard to improvement of cognitive functions as well as QoL in patients after CABG surgery, may follow valuable clinical implications for those who provide health care services for this group of patients.

This study was carried out in accordance with the recommendations of Ethics Committee of the Iranian Ministry of Health reference number: IR. All patients gave written informed consent in accordance with the Declaration of Helsinki. SA and SE were responsible for data collection and for evaluations and treatments. MH was responsible for data analysis. TR and SA contributed to the interpretation of data. All authors have approved the final version of the manuscript. HE and TR designed the Maghzineh architecture and games.

The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. We acknowledge the Tehran Heart Center Hospital for use of their facilities.

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We are greatly thankful to the study participants for their interest and cooperation in the project. Aldena, S. Effect of intense lifestyle modification and cardiac rehabilitation on psychosocial cardiovascular disease risk factors and quality of life. Anderson, V. Long-term outcome from childhood traumatic brain injury: intellectual ability, personality, and quality of life. Neuropsychology 25, — Asghari, A. Psychometric properties of the depression anxiety stress scales DASS in a non-clinical Iranian sample.

Google Scholar. Barker-Collo, S. Reducing attention deficits after stroke using attention process training: a randomized controlled trial. Stroke 40, — Barman, A. Cognitive impairment and rehabilitation strategies after traumatic brain injury.

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  • Survival and Quality of Life Following Elective Open-Heart Surgery.
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Indian J. Benjamin, E. Heart disease and stroke statistics update: a report from the American heart association. Circulation , e67—e Bosboom, P. B Psychol. Bradshaw, P. Asymptomatic long-term survivors of coronary artery bypass surgery enjoy a quality of life equal to the general population. Heart J. Bruce, K. Recovery of cognitive function after coronary artery bypass graft operations. Bruggemans, E. Cognitive dysfunction after cardiac surgery: pathophysiological mechanisms and preventive strategies.

Camara, N. Quality of life in multiple sclerosis and relationship to cognitive impairment. Cesar, L. Guideline for stable coronary artery disease. Chaudhury, S. Depression and anxiety following coronary artery bypass graft: current Indian scenario. Choi, J. Chokron, S. Effects of age and cardiovascular disease on selective attention.

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Comparison of cognitive change after working memory training and logic and planning training in healthy older adults. Aging Neurosci. Goto, T. Cerebral dysfunction after coronary artery bypass surgery. Grasso, M. Evaluation of the impact of cognitive training on quality of life in patients with multiple sclerosis. Gray, B. Relationships between divided attention and working memory impairment in people with schizophrenia. Gudmundsdottir, B. Quality of life and post trauma symptomatology in motor vehicle accident survivors: the mediating effects of depression and anxiety.

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Survival and Quality of Life Following Elective Open-Heart Surgery | Article | NursingCenter

Hogue, C. Mechanisms of cerebral injury from cardiac surgery. Crit Care Clin 24, 83— Imtiaz, S. Treatment of missing values in process data analysis.

Improving Outcomes and Quality of Life After CABG

Changes in health-related quality of life and functional capacity following coronary artery bypass graft surgery. Kaur, M. IOSR J. Health Sci. Keizer, A. The incidence of cognitive decline after not undergoing coronary artery bypass grafting: the impact of a controlled definition. Acta Anaesthesiol. Kiessling, A. Perceived cognitive function in coronary artery disease — An unrecognised predictor of unemployment. Life Res. Knipp, S. Evaluation of brain injury after coronary artery bypass grafting.

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Locke, D. Cognitive rehabilitation and problem solving to improve quality of life of patients with primary brain tumors: a pilot study. Support Oncol. Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page.

A comment on this article appears in " Quality of life after surgery for congenital heart disease. Europe PMC requires Javascript to function effectively. Recent Activity. Find all citations in this journal default. Or filter your current search. The Journal of Pediatrics [24 Oct , 3 ]. Postoperative SF scores of the study group significantly improved in all 8 health domains: Physical functioning, Role physical, Bodily pain, General health, Vitality, Social functioning, Role emotional, and Mental health.

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The main finding of our study is coming up from the multivariate analysis, where the given variables age, gender, type of surgery, preoperative PCS and MCS were tested on their influence on potential non-improvement of HRQOL after cardiac surgery. The highest risk of non-improvement in postoperative quality of life was found in patients with higher preoperative PCS and MCS scores.

We have also found that non-survivors showed a significantly lower preoperative HRQOL than survivors. Rumsfeld et al. The results indicate that the preoperative health status was significantly different in the HRQOL of survivors and was the major determinant of change in quality of life following surgery.

Factors presented as being associated with failure to achieve a better HRQOL outcome in the postoperative period include the following: one or more preoperative comorbidities and postoperative low cardiac output [ 27 ], low preoperative ejection fraction [ 28 ], preoperative ICU stay or perioperative complications [ 29 ], a higher dyspnea classification, experiencing a new cardiac arrhythmia during or after the surgery, higher pulmonary pressure, previous cardiac surgery, previous myocardial infarction, and manual occupation [ 14 , 30 ].

Based on these results we can conclude, that patients with distinctly low preoperative HRQOL status are also in very poor clinical conditions and the risk of death is increased. The most frequent postoperative complications in the group of older patients were previously described as heart failure, dysrhythmia, postoperative bleeding, ventilation problems, neurophysical disorders, myocardial dysfunction, and renal failure [ 6 ]. Engoren et al. In another study, Dumbor et al. Frelich et al. In the present situation, when the economic view on medical care is projecting more and more into everyday practice, our efforts should be oriented toward these high-risk patients because most of the complications are related to preoperative status and can be reduced through careful preoperative conditioning, gentle operating techniques, and appropriate postoperative care.

In cardiac surgery, as in other fields, there continue to be developed new operating methods e. The HRQOL improves early after cardiac operations an remains relatively constant in the long term even after three years [ 33 ], what makes the period of one year after surgery sufficient for HRQOL observation. Same result was also described by the group of Gjeilo [ 34 ].

We observed relatively higher values of preoperative SF scores for HRQOL in younger patients, but the differences between preoperative and postoperative SF scores were greater in the older group. This could lead to the conclusion that older patients obtain relatively greater benefit from cardiac surgery than do younger patients in the period of one year after surgery, when most of the postoperative complications have been resolved. Some of the earlier studies using the SF questionnaire have presented only summaries of the SF scores.

For example, they report changes in physical health status derived from physical functioning, role physical, bodily pain, and general health and mental health status derived from vitality, social functioning, role emotional, and mental health [ 28 , 29 ]. We have used summaries of the SF only in the multivariate analysis, which, in our opinion, is a better and more convenient tool for use as a predictor of postoperative course. We should comment also on the limitations of this study. Nevertheless, we believe that this study can be the basis for additional research which could prove our conclusions and provide a stronger tool for identifying older people who are likely to experience HRQOL improvement after cardiac surgery.

During the study period none of the operative techniques were changed, and that could probably have reduced the potential bias of our longitudinal sample. In our opinion, the preoperative HRQOL assessment should be an important part of the preoperative examination, especially in the high-risk patients.

Our findings lead us to conclude that older patients with relatively higher cardiac operative risk have lower preoperative HRQOL, but they are more likely to exhibit significant improvement in HRQOL postoperatively. If we are able to offer these patients more gentle operative techniques and appropriate postoperative care, then we can achieve not only significant reduction in the number of postoperative complications and mortality but also improvement in their HRQOL. The authors are interested in issues of senior-age care in cardiac surgery.

In their everyday practice they are striving to improve preoperative conditioning, surgical techniques and postoperative care in order to minimize operative risk for older patients undergoing cardiac surgery.

Interactiv Cardiovasc Thorac Surg. Eur J Cardiothorac Surg. Eur Heart J.

Why did the researchers do this particular study?

Scripta Medica. Age Ageing. J Thorac Cardiovasc Surg. Am J Med. J Thorac Cardiovas Sur. Eur J Heart Fail. Ware JE: SF health survey update. Qual Life Res. Statistica 10 software Czech version.

Assessment and pathophysiology of pain in cardiac surgery

Ann Thorac Surg. Am J Cardiol. Arch Surg.