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Titolo:
The influence of general health status and social support on symptomatic outcome following coronary artery bypass grafting
Autore:
Lindsay, GM; Smith, LN; Hanlon, P; Wheatley, DJ;
Indirizzi:
Univ Glasgow, Nursing & Midwifery Sch, Glasgow G12 8LS, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland G12 8LS ow G12 8LS, Lanark, Scotland Univ Glasgow, Dept Publ Hlth, Glasgow G12 8LS, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland G12 8LS ow G12 8LS, Lanark, Scotland N Glasgow Univ NHS Trust, Dept Cardiac Surg, Glasgow G4 0SF, Lanark, Scotland N Glasgow Univ NHS Trust Glasgow Lanark Scotland G4 0SF Lanark, Scotland
Titolo Testata:
HEART
fascicolo: 1, volume: 85, anno: 2001,
pagine: 80 - 86
SICI:
1355-6037(200101)85:1<80:TIOGHS>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; MYOCARDIAL-INFARCTION; SURVEY QUESTIONNAIRE; MORTALITY; SURGERY; PROGNOSIS; HYPERTENSION; MANAGEMENT; MORBIDITY; DISEASE;
Keywords:
health status indicator; coronary artery bypass; social support; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Lindsay, GM Univ Glasgow, Nursing & Midwifery Sch, 68 Oakfield Ave, Glasgow G12 8LS, Lanark, Scotland Univ Glasgow 68 Oakfield Ave Glasgow Lanark Scotland G12 8LS d
Citazione:
G.M. Lindsay et al., "The influence of general health status and social support on symptomatic outcome following coronary artery bypass grafting", HEART, 85(1), 2001, pp. 80-86

Abstract

Objectives-To assess health status, level of social support, and presence of coronary artery disease risk factors before and after coronary artery bypass grafting (CABG); to assess symptomatic relief approximately 12 months postoperatively; and to examine the association between preoperative healthstatus and recurrence of symptoms. Design-Observational study. Setting-Preoperatively, in hospital outpatient department (1995-1996); postoperatively, at home (1996-97). Subjects and methods-Patients awaiting elective CABG were recruited one month before the expected date of operation. Preoperative assessment includedseverity of symptoms, coronary artery disease risk factors, short form 36 (SF-36) questionnaire, and social activities questionnaire. The presence and severity of angina and breathlessness were reported postoperatively (mean16.4 months). Multiple regression analysis was used to identify factors associated with improved outcome following CABG. Main outcome measure-Patient reported presence and severity of angina and breathlessness. Results-183 patients were followed for a mean of 16.4 months after CABG. Angina and breathlessness were completely relieved in 55% and 36% of patients, respectively. In patients with residual symptoms, the severity was significantly reduced (angina p < 0.001; breathlessness, p = 0.02). Patients with low SF-36 scores and low social network scores preoperatively were less likely to be relieved of symptoms (p < 0.001). Health status and social support levels preoperatively were lower than in other reported coronary arterydisease patients groups. Preoperatively, coronary artery disease risk factors were higher than recommended in current guidelines: 67.4% had raised plasma cholesterol, 39.0% were hypertensive, 80% were moderately obese, and 22.9% were smokers. Conclusions-Recurrence of symptoms exceeded other published studies. Patients' perception of general health, symptoms, and social support influences outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/21 alle ore 03:54:33