Abstract
Objective: to assess the quality of life (QоL) according to the SF-36 questionnaire in elderly patients (≥75 years) in the medium-long term after correction of valvular heart disease with/without coronary heart disease (VHD±CAD).
Material and methods. From January 2019 to December 2021, 140 patients ≥75 years old (the average age was 77.2±2.1 years), the correction of VHD±CAD was performed. The average indicator on the Edmonton scale of physiological reserve (EFI) before surgery was 8.8± 1.9 (“mid. frail»). Assessment of QoL according to SF-36 before surgery: physical health (PH) – 50.9±1.2, physical functioning (PF) – 44.4±5.3, role-playing physical functioning (RPF) – 50.0±2.1, pain – 42.1±7.3, mental health (MH) – 40.2±3.1, role-playing emotional functioning (REF) – 46.0±1.2, social health (SH) – 52.2±4.0, viability (V) – 61.0±9.4, general health (GH) – 42.6±34.3.
Results. 127 patients ≥ 75 years of age were discharged from the clinic and in the medium-long term, complications were diagnosed in 40.5% of patients ≥ 75 years of age (cardiac arrhythmias, stroke, angina pectoris clinic return after combined and/or staged operations, paraprosthetic fistula) and 36.2% of patients had non-targeted the values of the international normalized relationship. Average EFI within 6–24 months after operations – 5.5±1.4 (“not frail”). The assessment of QOL: PH – 54.2±5.0, PF – 53.5±3.1, RPF – 56.4±1.1, pain – 48.2±6.3, MH – 43.7±2.0, REF – 49.9±5.2, SF – 62.7±3.3, V – 67.9±2.1, GH – 56.1±4.6. Thus, according to the physical components of QOL health, it was assessed as good, but according to the mental components of QOL it was regarded as satisfactory (≤ 55 points).
Conclusion. Analysis of the medium-long-term results of surgical correction of VHD±CAD with an assessment of QOL within 6–24 months after operations in patients ≥75 years of age showed that the correction of VHD leads to both an improvement in the physiological reserve of patients and an improvement in the quality of life of patients within 6–24 months after operations, especially in the physical components of health.
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About the authors
- Dmitriy M. Pelekh, Cand. Med. Sci., Researcher, Cardiologist; ORCID
- Tat’yana G. Nikitina, Dr. Med. Sci., Professor, Senior Researcher; ORCID
- Knar S. Gulyan, Cand. Med. Sci., Cardiologist; ORCID
- Tat’yana Yu. Filippkina, Cand. Phys. Math. Sci., Analyst; ORCID
- Elena Z. Golukhova, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Director of the Center; ORCID
