Pinna-Pintor P, Cicolin A, Borio R, Torta R, Varetto A, Alfieri O, Bobbio M; International Society of Technology Assessment in Health Care. Meeting.

Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 1995; 11: Abstract No. 156.

Institute of Clinical Psychiatry, University of Turin, Italy.

Three major factors were identified to influence the heath related Quality of Life (QoL) in the medically ill population: functional capacity, self-perception, and effects of symptoms of disease, but as of now there is no universally accepted definition of QoL and general consensus how to measure it. Trying to find out valid tools concording in multidimensional measures of QoL we have compared different self-evaluation scales or interviews semistructured in many pathologies, but more rarely in cardiac pts operated of CABG. In order to compare some tools generally used to evaluate the QoL, we have studied 303 pts out from a consecutive population of 907 pts who underwent CABG in our Institution from Jan.'89 to June '92 before the intervention (TO) and at the follow-up (12-24 months later; T1), by self-evaluating questionnaires (SDS Zung depression rating scale, State and Trait Anxiety Inventory respectively form X1 and X2, and Quality of Life Scale of United States Dept. of Health and Human Service, sect. A: social relationship, B: interests, C: mood). Furthermore they returned a self-evaluated only postoperative questionnaire including some psychosocial variables (mood, irritability, job and hobby satisfaction, family relations, sexual activity) and "general well being" opinion. Preliminary data suggest that the improvement of state and trait anxiety respectively (STAI X1 from 41.5 to 38.9 p<0.0001, and STAI X2 from 30.3 to 29.1 p<0.003) and physical improvement after CABG 85.5% of pts without cardiac events do not correspond any change in the expected direction of QoL measures A, B, and C (table 1). We found further discordance between the postoperative self-evaluation questionnaire (no changes) and "general well-being" opinion (87% improvement) (table 2). Our results demonstrate that more sensitive and comparable tools than those generally used should be found for a valid multidimensional measurement of QoL after CABG.

Publication Types:

• Meeting Abstracts

Keywords:

• Anxiety
• Coronary Artery Bypass
• Humans
• Life
• Postoperative Period
• Quality of Life
• Questionnaires
• United States
• surgery
• hsrmtgs

Other ID:

• HTX/96648865

UI: 102215883

From Meeting Abstracts