D'Andria Ursoleo Jacopo, Pieri Marina, Calvo Francesco, Altizio Savino, Gramegna Mario, Pontillo Domenico, Ajello Silvia, Scandroglio Anna Mara
Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Lombardia, Italy.
Vita-Salute San Raffaele University, Milan, Lombardia, Italy.
Int J Artif Organs. 2024 Apr;47(4):303-308. doi: 10.1177/03913988241239236. Epub 2024 Mar 23.
With the general population aging, both life expectancy and the number of left ventricular assist device (LVAD) implantations in elderly patients are growing. Nevertheless, their perceived long-term quality of life, including psychological aspects, coupled with the respective caregiver's burden, remain under-reported. In light of the rising number of octogenarians with LVAD who necessitate broader healthcare provider involvement, we assessed the long-term quality of life, as defined by both the 36-item short-form health (SF-36) survey and the EuroQol 5 dimensions, 5-level questionnaire (EQ-5D-5L)-including the visual analog scale-in octogenarian LVAD patients who had received treatment at our institution. Additionally, we evaluated the psychological health of octogenarian LVAD patients using the psychological general well-being index (PGWBI), alongside their caregivers' well-being through the 22-item version of the Zarit Burden Interview (ZBI). Of 12 octogenarian LVAD patients, 5 were alive and willing to answer questionnaires. Mean age at implant was 74 ± 2 years. Median follow-up was 2464 (IQR = 2375-2745) days. Although variable, the degree of health and psychological well-being perceived by octogenarian patients with LVAD was "good." Interestingly, the burden of assistance reported by caregivers, though relevant, was greatly varied, suggesting the need to better define and address psychological long-term aspects related to LVAD implantation for both patients and caregivers with a broad-spectrum approach.
随着普通人群老龄化，老年人的预期寿命以及左心室辅助装置（LVAD）植入数量都在增加。然而，包括心理方面在内的他们的长期生活质量以及相应护理人员的负担，仍未得到充分报道。鉴于需要更广泛医疗保健提供者参与的80岁及以上LVAD患者数量不断增加，我们评估了在我们机构接受治疗的80岁及以上LVAD患者的长期生活质量，该质量由36项简短健康调查（SF - 36）和欧洲五维度健康量表5级问卷（EQ - 5D - 5L）（包括视觉模拟量表）定义。此外，我们使用心理总体幸福感指数（PGWBI）评估了80岁及以上LVAD患者的心理健康，并通过22项版本的扎里特负担访谈（ZBI）评估了他们护理人员的幸福感。在12名80岁及以上的LVAD患者中，5名存活且愿意回答问卷。植入时的平均年龄为74±2岁。中位随访时间为2464（四分位间距=2375 - 2745）天。尽管存在差异，但80岁及以上LVAD患者所感知的健康和心理健康程度为“良好”。有趣的是，护理人员报告的协助负担虽然相关，但差异很大，这表明需要采用广谱方法更好地定义和解决与LVAD植入相关的患者和护理人员的长期心理问题。
