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[欧洲心脏手术风险评估系统在冠状动脉搭桥术后患者生活质量预测中的作用]

[The role of European system for cardiac operative risk evaluation in the prediction of quality of life in patients after coronary artery bypass graft surgery].

作者信息

Zhao Zhou, Chen Yu, Ma Chen-Ming, Tang Chu-Zhong, Xie Ji-Yan, Hu Da-Yi

机构信息

Heart Center, People's Hospital of Peking University, Beijing 100044, China.

出版信息

Zhonghua Xin Xue Guan Bing Za Zhi. 2010 Feb;38(2):103-7.

PMID:20398552
Abstract

OBJECTIVE

To assess the value of European system for cardiac operative risk evaluation (EuroSCORE) in predicting quality of life in patients post coronary artery bypass graft surgery (CABG).

METHODS

A total of 387 patients underwent CABG in our institute from December of 2002 to December of 2007 were assessed by EuroSCORE before operation. Health-related quality of life (QoL) was estimated postoperatively with Seattle angina questionnaire (SAQ), Nottingham healthy profile (NHP) and Duke activity status index (DASI) in order to evaluate the value of EuroSCORE for predicting quality of life in patients post CABG.

RESULTS

There were statistically significant but weak correlations between postoperative QoL score and preoperative EuroSCORE score (r: 0.010 - 0.276). Emotional and psychological experience subgroup analysis showed better predictive value of EuroSCORE score on postoperative QoL score in improved physical functioning subgroups (r > 0.2). Linear regression analysis showed that EuroSCORE score was significant but weakly (r(2) < 0.1) correlated with postoperative QoL score (P < 0.05).

CONCLUSION

Preoperative EuroSCORE score is weakly correlated with postoperative QoL score in patients post CABG.

摘要

目的

评估欧洲心脏手术风险评估系统(EuroSCORE)在预测冠状动脉旁路移植术(CABG)患者生活质量方面的价值。

方法

对2002年12月至2007年12月在我院接受CABG的387例患者术前采用EuroSCORE进行评估。术后采用西雅图心绞痛问卷(SAQ)、诺丁汉健康量表(NHP)和杜克活动状态指数(DASI)评估健康相关生活质量(QoL),以评价EuroSCORE对CABG术后患者生活质量的预测价值。

结果

术后QoL评分与术前EuroSCORE评分之间存在统计学上显著但较弱的相关性(r:0.010 - 0.276)。情感和心理体验亚组分析显示,在身体功能改善亚组中,EuroSCORE评分对术后QoL评分具有更好的预测价值(r > 0.2)。线性回归分析显示,EuroSCORE评分与术后QoL评分显著但相关性较弱(r² < 0.1)(P < 0.05)。

结论

CABG术后患者术前EuroSCORE评分与术后QoL评分相关性较弱。

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