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全内镜心脏手术后以患者为中心的结局:一年随访

Patient-Centred Outcomes after Totally Endoscopic Cardiac Surgery: One-Year Follow-Up.

作者信息

Claessens Jade, Goris Pieter, Yilmaz Alaaddin, Van Genechten Silke, Claes Marithé, Packlé Loren, Pierson Maud, Vandenbrande Jeroen, Kaya Abdullah, Stessel Björn

机构信息

Faculty of Medicine and Life Sciences, UHasselt-Hasselt University, Agoralaan, 3590 Diepenbeek, Belgium.

Department of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, Belgium.

出版信息

J Clin Med. 2023 Jun 30;12(13):4406. doi: 10.3390/jcm12134406.

Abstract

Patient-centred outcomes have grown in popularity over recent years in surgical care research. These patient-centred outcomes can be measured through the health-related quality of life (HRQL) without professional interpretations. In May 2022, a study regarding patient-centred outcomes up to 90 days postoperatively was published. Fourteen days after surgery, the HRQL decreased and returned to baseline levels after 30 days. Next, the HRQL significantly improved 90 days postoperatively. However, this study only focuses on a short-term follow-up of the patients. Hence, this follow-up study aims to assess the HRQL one year after totally endoscopic cardiac surgery. At baseline, 14, 30, and 90 days, and one year after surgery, the HRQL was evaluated using a 36-item short form and 5-dimensional European QoL questionnaires (EQ-5D). Using the 36-item short form questionnaire, a physical and mental component score is calculated. Over the period of one year, this physical and mental component score and the EQ-5D index value significantly improve. According to the visual analogue scale of the EQ-5D, patients score their health significantly higher one year postoperatively. In conclusion, after endoscopic cardiac surgery, the HRQL is significantly improved 90 days postoperatively and remains high one year afterward.

摘要

近年来,以患者为中心的结局在外科护理研究中越来越受欢迎。这些以患者为中心的结局可以通过与健康相关的生活质量(HRQL)来衡量,无需专业解读。2022年5月,一项关于术后90天内以患者为中心的结局的研究发表了。术后14天,HRQL下降,30天后恢复到基线水平。接下来,术后90天HRQL显著改善。然而,这项研究仅关注患者的短期随访。因此,这项随访研究旨在评估全内镜心脏手术后一年的HRQL。在基线、术后14天、30天、90天和一年时,使用36项简表和5维度欧洲生活质量问卷(EQ-5D)对HRQL进行评估。使用36项简表问卷计算身体和心理成分得分。在一年的时间里,这个身体和心理成分得分以及EQ-5D指数值显著改善。根据EQ-5D的视觉模拟量表,患者术后一年对自身健康的评分显著更高。总之,内镜心脏手术后,术后90天HRQL显著改善,并且在之后的一年里一直保持较高水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10342362/769567102a0e/jcm-12-04406-g001.jpg

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