ORIGINAL ARTICLE  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2021 June;62(3):278-85

DOI: 10.23736/S0021-9509.21.11452-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Predictors of patient-reported health following cardiac surgery

Krzysztof JARMOSZEWICZ ¹, Katarzyna NOWICKA-SAUER ^{1, 2} ✉, Kamil WERA ³, Anna MESLIN-KUŹNIAK ⁴, Sebastian BETA ¹, Małgorzata PIETRZYKOWSKA ²

¹ Department of Cardiac Surgery, Florian Ceynowa Specialist Hospital, Wejherowo, Poland; ² Department of Family Medicine, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland; ³ Department of Cardiology, Mikołaj Kopernik Specialist Municipal Hospital in Toruń, Toruń, Poland; ⁴ Private Practitioner in Psychotherapy, Neurologopedic Therapy and Sensory Integration, Gdańsk, Poland

BACKGROUND: Patient-reported health status is one of the most important aspects of cardiovascular outcomes. The aim of this study was to assess patient-reported health and its determinants following cardiac surgery.
METHODS: Cross-sectional study was performed among 128 patients (mean age: 66.02; 35.9% women). Three months after surgery patients filled in The Short Form 12 Health Survey (SF-12) and Brief-Illness Perception Questionnaire (B-IPQ). Patient-reported health was assessed using SF-12 General Health component.
RESULTS: The mean General Health score was 47.34 (SD=20.94). General Health was significantly positively correlated with SF-12 Physical and Mental Component Summary (P<0.01). Significant negative correlations were noted between General Health and European System for Cardiac Operative Risk Factor (EuroSCORE) (P=0.012) and Body Mass Index (BMI) (P=0.026). Higher scores on B-IPQ Consequences, Timeline, Identity, Emotional Response (P<0.01) and Concern (P=0.03) were related to worse General Health. Higher perceived effectiveness of surgery (P<0.01) and Treatment control (P=0.003) were associated with higher General Health score. More negative illness perception was significantly related to lower General Health (P<0.01). No significant associations between General Health and mode and weight of the procedure, myocardial infarction, previous percutaneous coronary intervention, New York Heart Association (NYHA) and Canadian Cardiovascular Society (CCS) class and postsurgical complications were noted. Structural equation modeling (SEM) revealed that illness perception domains, BMI and EuroSCORE are the main determinants of General Health.
CONCLUSIONS: Modifiable factors, especially illness perception are important determinants of patient-reported health after cardiac surgery. Evaluation of illness perception seems vital since it may lead to address patients’ concerns and improve outcomes.

KEY WORDS: Cardiac surgical procedures; Patient reported outcome measures; Thoracic surgery