Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

Rakesh Kumar; Milind Padmakar Hote; Gautam Sharma; Bhaskar Thakur; Balram Airan

doi:doi:10.11648/j.ijcts.20170305.14

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Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study

Rakesh Kumar, Milind Padmakar Hote, Gautam Sharma, Bhaskar Thakur, Balram Airan

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 5)

Received: 16 February 2017 Accepted: 23 March 2017 Published: 24 October 2017

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Abstract

This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1^st July 2015 – 31^st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having pre-op diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients’ detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions: Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health-related quality-of-life scale scores remained less favourable than men’s through 1 year after surgery.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 5)
DOI	10.11648/j.ijcts.20170305.14
Page(s)	57-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Coronary Artery Disease (CAD), Coronary Artery Bypass Grafting (CABG), Internal Thoracic Artery (ITA), Left Anterior Descending Artery (LAD), Cardiopulmonary Bypass (CPB), Outer Patient Department (OPD), Analysis of Variance (ANOVA)

References

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[14]	Czajkowski S, Terrin M, Lindquist R, et al. Comparison of preoperative characteristics of men and women undergoing coronary artery bypass grafting (the Post Coronary Artery Bypass Graft [CABG] Biobehavioral Study). Am J Cardiol 1997; 79: 1017–24.
[15]	The prognostic significance of declining health-related quality of life scores at 6 months after coronary artery bypass surgery Gunn JM, Lautamäki AK, Hirvonen J, Kuttila KT QJM. 2014 May; 107 (5): 369-74. doi: 10.1093/qjmed/hct256. Epub 2013 Dec 28.
[16]	Quality-of-life outcomes with coronary artery bypass graft surgery in ischemic left ventricular dysfunction: a randomized trial. Mark DB, Knight JD, Velazquez EJ, etalAnn Intern Med. 2014 Sep 16; 161 (6): 392-9. doi: 10.7326/M13-1380.
[17]	The long-term effect of perioperative myocardial infarction on health-related quality-of-life after coronary artery bypasses grafting. Järvinen O, Hokkanen M, Huhtala H. Interact Cardiovasc Thorac Surg. 2014 May; 18 (5): 568-73. doi: 10.1093/icvts/ivt543. Epub 2014 Feb 4.
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APA Style

Rakesh Kumar, Milind Padmakar Hote, Gautam Sharma, Bhaskar Thakur, Balram Airan. (2017). Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. International Journal of Cardiovascular and Thoracic Surgery, 3(5), 57-62. https://doi.org/10.11648/j.ijcts.20170305.14

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ACS Style

Rakesh Kumar; Milind Padmakar Hote; Gautam Sharma; Bhaskar Thakur; Balram Airan. Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(5), 57-62. doi: 10.11648/j.ijcts.20170305.14

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AMA Style

Rakesh Kumar, Milind Padmakar Hote, Gautam Sharma, Bhaskar Thakur, Balram Airan. Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. Int J Cardiovasc Thorac Surg. 2017;3(5):57-62. doi: 10.11648/j.ijcts.20170305.14

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@article{10.11648/j.ijcts.20170305.14,
  author = {Rakesh Kumar and Milind Padmakar Hote and Gautam Sharma and Bhaskar Thakur and Balram Airan},
  title = {Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {3},
  number = {5},
  pages = {57-62},
  doi = {10.11648/j.ijcts.20170305.14},
  url = {https://doi.org/10.11648/j.ijcts.20170305.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170305.14},
  abstract = {This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1st July 2015 – 31st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having pre-op diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients’ detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions:  Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health-related quality-of-life scale scores remained less favourable than men’s through 1 year after surgery.},
 year = {2017}
}

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TY  - JOUR
T1  - Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study
AU  - Rakesh Kumar
AU  - Milind Padmakar Hote
AU  - Gautam Sharma
AU  - Bhaskar Thakur
AU  - Balram Airan
Y1  - 2017/10/24
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcts.20170305.14
DO  - 10.11648/j.ijcts.20170305.14
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20170305.14
AB  - This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1st July 2015 – 31st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having pre-op diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients’ detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions:  Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health-related quality-of-life scale scores remained less favourable than men’s through 1 year after surgery.
VL  - 3
IS  - 5
ER  -

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Author Information

Rakesh Kumar

Department of CTVS, Affiliation-All India Institute of Medical Sciences, New Delhi, India
Milind Padmakar Hote

Department of CTVS, Affiliation-All India Institute of Medical Sciences, New Delhi, India
Gautam Sharma

Department of Cardiology, Affiliation-All India Institute of Medical Sciences, New Delhi, India
Bhaskar Thakur

Department of Biostatistics, Affiliation-All India Institute of Medical Sciences, New Delhi, India
Balram Airan

Department of CTVS, Affiliation-All India Institute of Medical Sciences, New Delhi, India

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APA Style

Rakesh Kumar, Milind Padmakar Hote, Gautam Sharma, Bhaskar Thakur, Balram Airan. (2017). Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. International Journal of Cardiovascular and Thoracic Surgery, 3(5), 57-62. https://doi.org/10.11648/j.ijcts.20170305.14

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ACS Style

Rakesh Kumar; Milind Padmakar Hote; Gautam Sharma; Bhaskar Thakur; Balram Airan. Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(5), 57-62. doi: 10.11648/j.ijcts.20170305.14

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AMA Style

Rakesh Kumar, Milind Padmakar Hote, Gautam Sharma, Bhaskar Thakur, Balram Airan. Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study. Int J Cardiovasc Thorac Surg. 2017;3(5):57-62. doi: 10.11648/j.ijcts.20170305.14

Copy | Download

@article{10.11648/j.ijcts.20170305.14,
  author = {Rakesh Kumar and Milind Padmakar Hote and Gautam Sharma and Bhaskar Thakur and Balram Airan},
  title = {Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {3},
  number = {5},
  pages = {57-62},
  doi = {10.11648/j.ijcts.20170305.14},
  url = {https://doi.org/10.11648/j.ijcts.20170305.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170305.14},
  abstract = {This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1st July 2015 – 31st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having pre-op diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients’ detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions:  Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health-related quality-of-life scale scores remained less favourable than men’s through 1 year after surgery.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Comparison of Outcome in Male and Female Indian Patients Undergoing Cabg, Activity Levels and Quality of Life: One Year Follow-Up Study
AU  - Rakesh Kumar
AU  - Milind Padmakar Hote
AU  - Gautam Sharma
AU  - Bhaskar Thakur
AU  - Balram Airan
Y1  - 2017/10/24
PY  - 2017
N1  - https://doi.org/10.11648/j.ijcts.20170305.14
DO  - 10.11648/j.ijcts.20170305.14
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20170305.14
AB  - This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire was utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patients are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. Material and Methods: Prospective analysis was done at one year follow up of patients undergoing coronary artery bypass grafting between 1st July 2015 – 31st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complications. Patients who were operated on pump/off pump, having pre-op diabetes or hypertension at AIIMS New Delhi, coming for follow up at routine intervals, were included in this study. Using SF 36 questionnaire here we recorded the patients’ detailed activity levels and quality of life in post-operative period, also we correlated the impact of CABG surgery with gender of patients. We compared the outcome in 168 male and female patients, who underwent CABG surgery during the study period. Follow-up was completed at intervals of 1 week, 1 month, 3 months, 6 months and 12 months following surgery. This follow-up was done both telephonically and during their office visits. Results: After 4 weeks following CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in their physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions:  Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health-related quality-of-life scale scores remained less favourable than men’s through 1 year after surgery.
VL  - 3
IS  - 5
ER  -

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