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Relation between Quality of Recovery in Hospital and Quality of Life at 3 Months after Cardiac Surgery |
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| Authors: | Myles, Paul S. M.B.B.S., M.P.H., M.D., F.C.A.R.C.S.I., F.A.N.Z.C.A. Hunt, Jennifer O. R.N., R.M., B.Hlth.Sc.&#x Fletcher, Helen R.N.&#x Solly, Robert M.B.B.S. Woodward, David M.B.Ch.B., M.R.C.P., F.R.C.A. Kelly, Susan M.B.Ch.B., F.A.N.Z.C.A.&#x |
| Affiliation: | Myles, Paul S. M.B.B.S., M.P.H., M.D., F.C.A.R.C.S.I., F.A.N.Z.C.A.*; Hunt, Jennifer O. R.N., R.M., B.Hlth.Sc.†; Fletcher, Helen R.N.‡; Solly, Robert M.B.B.S.§; Woodward, David M.B.Ch.B., M.R.C.P., F.R.C.A.§; Kelly, Susan M.B.Ch.B., F.A.N.Z.C.A.∥ |
| Abstract: | Background: Improved quality of life (QoL) is a desirable outcome of cardiac surgery. The aim of the current study was to measure the association between quality of recovery 3 days after surgery and QoL measured 3 months later. Methods: After obtaining ethics committee approval and consent, 120 adult cardiac surgical patients were studied. A 40-item quality of recovery score (QoR-40) was used to measure postoperative health status on days 1-3 and 1 month after surgery. QoL was measured using the short-form health survey (SF-36) at 1 and 3 months after surgery. The effect size ([DELTA]mean/SD) was used to define responsiveness, a clinically important difference in health. Associations were measured using correlation and reliability coefficients. Results: There was a significant change in the mean QoR-40 for up to 1 month after surgery (P < 0.0005). QoL was improved at 3 months (P < 0.0005) but not 1 month (P = 0.29) after surgery. There was a moderate correlation between day-3 QoR-40 and 3-month SF-36 (r = 0.39;P < 0.0005). A poor-quality recovery in hospital predicted a poor QoL at 3 months (adjusted odds ratio, 4.20; 95% confidence interval, 1.41-12.5;P = 0.01). |
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