Perceived health status in patients over 70 before and after open-heart operations.
Identifieur interne : 001E80 ( Main/Exploration ); précédent : 001E79; suivant : 001E81Perceived health status in patients over 70 before and after open-heart operations.
Auteurs : S. Chocron [France] ; E. Tatou ; B. Schjoth ; G. Naja ; F. Clement ; J F Viel ; J P EtieventSource :
- Age and ageing [ 0002-0729 ] ; 2000.
Descripteurs français
- KwdFr :
- Chirurgie thoracique (MeSH), Complications postopératoires (MeSH), Concept du soi (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Satisfaction des patients (MeSH), Soins postopératoires (psychologie), Soins préopératoires (psychologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Valeur prédictive des tests (MeSH), Évaluation gériatrique (MeSH).
- MESH :
- psychologie : Soins postopératoires, Soins préopératoires.
- Chirurgie thoracique, Complications postopératoires, Concept du soi, Enquêtes et questionnaires, Femelle, Humains, Mâle, Résultat thérapeutique, Satisfaction des patients, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeur prédictive des tests, Évaluation gériatrique.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Male (MeSH), Patient Satisfaction (MeSH), Postoperative Care (psychology), Postoperative Complications (MeSH), Predictive Value of Tests (MeSH), Preoperative Care (psychology), Self Concept (MeSH), Surveys and Questionnaires (MeSH), Thoracic Surgery (MeSH), Treatment Outcome (MeSH).
- MESH :
Abstract
AIM
to evaluate improvement and predictors of improvement in patients' perceived health status after cardiac surgery in older patients.
METHODS
three hundred and seventy-seven patients from three different departments of cardiac surgery completed the Nottingham Health Profile questionnaire before and 1 and 2 years after open-heart surgery. We analysed pre- and postoperative data and pre- and postoperative Nottingham Health Profile scores.
RESULTS
the mean age was 74+/-3 years. The comparison between pre- and postoperative scores showed an improvement in all but the social isolation section. Logistic regression showed that the predictors of patients who became worse after surgery were (i) in the energy section: age over 75 [odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.02-3.2], coronary artery disease (OR = 2.4, 95% CI = 1.04-3.6) and postoperative events (OR = 1.9, 95% CI = 1.01-3.7); (ii) in the physical mobility section: diabetes mellitus (OR = 2.4, 95% CI = 1.2-4.7); and (iii) in the social isolation section: physical mobility impairment (OR = 3.4, 95% CI = 1.3-8.7).
CONCLUSIONS
cardiac surgery improves perceived health status in patients over 70. This improvement is better for those undergoing aortic valve replacement than for those undergoing coronary artery bypass surgery. Comparison with reference scores for a standard population shows that, even when successful, cardiac surgery results in fatigue and persistent sleep disturbance in older patients.
DOI: 10.1093/ageing/29.4.329
PubMed: 10985442
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Tatou</name></author><author><name sortKey="Schjoth, B" sort="Schjoth, B" uniqKey="Schjoth B" first="B" last="Schjoth">B. Schjoth</name></author><author><name sortKey="Naja, G" sort="Naja, G" uniqKey="Naja G" first="G" last="Naja">G. Naja</name></author><author><name sortKey="Clement, F" sort="Clement, F" uniqKey="Clement F" first="F" last="Clement">F. Clement</name></author><author><name sortKey="Viel, J F" sort="Viel, J F" uniqKey="Viel J" first="J F" last="Viel">J F Viel</name></author><author><name sortKey="Etievent, J P" sort="Etievent, J P" uniqKey="Etievent J" first="J P" last="Etievent">J P Etievent</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2000">2000</date><idno type="RBID">pubmed:10985442</idno><idno type="pmid">10985442</idno><idno type="doi">10.1093/ageing/29.4.329</idno><idno type="wicri:Area/Main/Corpus">001E80</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001E80</idno><idno type="wicri:Area/Main/Curation">001E80</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001E80</idno><idno type="wicri:Area/Main/Exploration">001E80</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Perceived health status in patients over 70 before and after open-heart operations.</title><author><name sortKey="Chocron, S" sort="Chocron, S" uniqKey="Chocron S" first="S" last="Chocron">S. Chocron</name><affiliation wicri:level="3"><nlm:affiliation>Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, Besançon, France. chocron@usa.net</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Tatou, E" sort="Tatou, E" uniqKey="Tatou E" first="E" last="Tatou">E. Tatou</name></author><author><name sortKey="Schjoth, B" sort="Schjoth, B" uniqKey="Schjoth B" first="B" last="Schjoth">B. Schjoth</name></author><author><name sortKey="Naja, G" sort="Naja, G" uniqKey="Naja G" first="G" last="Naja">G. Naja</name></author><author><name sortKey="Clement, F" sort="Clement, F" uniqKey="Clement F" first="F" last="Clement">F. Clement</name></author><author><name sortKey="Viel, J F" sort="Viel, J F" uniqKey="Viel J" first="J F" last="Viel">J F Viel</name></author><author><name sortKey="Etievent, J P" sort="Etievent, J P" uniqKey="Etievent J" first="J P" last="Etievent">J P Etievent</name></author></analytic><series><title level="j">Age and ageing</title><idno type="ISSN">0002-0729</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Female (MeSH)</term><term>Geriatric Assessment (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Patient Satisfaction (MeSH)</term><term>Postoperative Care (psychology)</term><term>Postoperative Complications (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Preoperative Care (psychology)</term><term>Self Concept (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Thoracic Surgery (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie thoracique (MeSH)</term><term>Complications postopératoires (MeSH)</term><term>Concept du soi (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Satisfaction des patients (MeSH)</term><term>Soins postopératoires (psychologie)</term><term>Soins préopératoires (psychologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Valeur prédictive des tests (MeSH)</term><term>Évaluation gériatrique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Soins postopératoires</term><term>Soins préopératoires</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Postoperative Care</term><term>Preoperative Care</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Geriatric Assessment</term><term>Humans</term><term>Male</term><term>Patient Satisfaction</term><term>Postoperative Complications</term><term>Predictive Value of Tests</term><term>Self Concept</term><term>Surveys and Questionnaires</term><term>Thoracic Surgery</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chirurgie thoracique</term><term>Complications postopératoires</term><term>Concept du soi</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Satisfaction des patients</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Valeur prédictive des tests</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>to evaluate improvement and predictors of improvement in patients' perceived health status after cardiac surgery in older patients.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>three hundred and seventy-seven patients from three different departments of cardiac surgery completed the Nottingham Health Profile questionnaire before and 1 and 2 years after open-heart surgery. We analysed pre- and postoperative data and pre- and postoperative Nottingham Health Profile scores.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>the mean age was 74+/-3 years. The comparison between pre- and postoperative scores showed an improvement in all but the social isolation section. Logistic regression showed that the predictors of patients who became worse after surgery were (i) in the energy section: age over 75 [odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.02-3.2], coronary artery disease (OR = 2.4, 95% CI = 1.04-3.6) and postoperative events (OR = 1.9, 95% CI = 1.01-3.7); (ii) in the physical mobility section: diabetes mellitus (OR = 2.4, 95% CI = 1.2-4.7); and (iii) in the social isolation section: physical mobility impairment (OR = 3.4, 95% CI = 1.3-8.7).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>cardiac surgery improves perceived health status in patients over 70. This improvement is better for those undergoing aortic valve replacement than for those undergoing coronary artery bypass surgery. Comparison with reference scores for a standard population shows that, even when successful, cardiac surgery results in fatigue and persistent sleep disturbance in older patients.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10985442</PMID><DateCompleted><Year>2001</Year><Month>02</Month><Day>01</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0002-0729</ISSN><JournalIssue CitedMedium="Print"><Volume>29</Volume><Issue>4</Issue><PubDate><Year>2000</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Age and ageing</Title><ISOAbbreviation>Age Ageing</ISOAbbreviation></Journal><ArticleTitle>Perceived health status in patients over 70 before and after open-heart operations.</ArticleTitle><Pagination><MedlinePgn>329-34</MedlinePgn></Pagination><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">to evaluate improvement and predictors of improvement in patients' perceived health status after cardiac surgery in older patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">three hundred and seventy-seven patients from three different departments of cardiac surgery completed the Nottingham Health Profile questionnaire before and 1 and 2 years after open-heart surgery. We analysed pre- and postoperative data and pre- and postoperative Nottingham Health Profile scores.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">the mean age was 74+/-3 years. The comparison between pre- and postoperative scores showed an improvement in all but the social isolation section. Logistic regression showed that the predictors of patients who became worse after surgery were (i) in the energy section: age over 75 [odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.02-3.2], coronary artery disease (OR = 2.4, 95% CI = 1.04-3.6) and postoperative events (OR = 1.9, 95% CI = 1.01-3.7); (ii) in the physical mobility section: diabetes mellitus (OR = 2.4, 95% CI = 1.2-4.7); and (iii) in the social isolation section: physical mobility impairment (OR = 3.4, 95% CI = 1.3-8.7).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">cardiac surgery improves perceived health status in patients over 70. This improvement is better for those undergoing aortic valve replacement than for those undergoing coronary artery bypass surgery. Comparison with reference scores for a standard population shows that, even when successful, cardiac surgery results in fatigue and persistent sleep disturbance in older patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chocron</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, Besançon, France. chocron@usa.net</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tatou</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Schjoth</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Naja</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Clement</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Viel</LastName><ForeName>J F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Etievent</LastName><ForeName>J P</ForeName><Initials>JP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Age Ageing</MedlineTA><NlmUniqueID>0375655</NlmUniqueID><ISSNLinking>0002-0729</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="Y">Geriatric Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="Y">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013903" MajorTopicYN="Y">Thoracic Surgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2000</Year><Month>9</Month><Day>14</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>2</Month><Day>28</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2000</Year><Month>9</Month><Day>14</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10985442</ArticleId><ArticleId IdType="doi">10.1093/ageing/29.4.329</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Bourgogne-Franche-Comté</li><li>Franche-Comté</li></region><settlement><li>Besançon</li></settlement></list><tree><noCountry><name sortKey="Clement, F" sort="Clement, F" uniqKey="Clement F" first="F" last="Clement">F. Clement</name><name sortKey="Etievent, J P" sort="Etievent, J P" uniqKey="Etievent J" first="J P" last="Etievent">J P Etievent</name><name sortKey="Naja, G" sort="Naja, G" uniqKey="Naja G" first="G" last="Naja">G. Naja</name><name sortKey="Schjoth, B" sort="Schjoth, B" uniqKey="Schjoth B" first="B" last="Schjoth">B. Schjoth</name><name sortKey="Tatou, E" sort="Tatou, E" uniqKey="Tatou E" first="E" last="Tatou">E. Tatou</name><name sortKey="Viel, J F" sort="Viel, J F" uniqKey="Viel J" first="J F" last="Viel">J F Viel</name></noCountry><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Chocron, S" sort="Chocron, S" uniqKey="Chocron S" first="S" last="Chocron">S. Chocron</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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