Health-Related Quality of Life of Coronary Artery Disease Patients under Secondary Prevention: A Cross-Sectional Survey from South India

HRQOL in CAD Patients Under Secondary Prevention

Authors

  • Remya Sudevan, MBBS, MPH, PhD Departments of Health Sciences Research, Amrita Institute of Medical Sciences & Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
  • Manu Raj, DNB, MS HRM Department of Pediatric Cardiology & Public Health Research, Amrita Institute of Medical Sciences & Research Centre, Kochi, Kerala, India
  • Damodaran M.Vasudevan, MD, FRCP, HOD Departments of Health Sciences Research, Amrita Institute of Medical Sciences & Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
  • Rajesh Thachathodiyl, MD, DM-HOD Department of Cardiology, Amrita Institute of Medical Sciences & Research Centre, Kochi, Kerala, India
  • Maniyal Vijayakumar, MD, DNB, DM Department of Cardiology, Amrita Institute of Medical Sciences & Research Centre, Kochi, Kerala, India
  • Jabir Abdullakutty, MD, DM Department of Cardiology, Lisie Hospital, Kochi, Kerala, India
  • Paul Thomas, MD, DM Ernakulam General Hospital, Ernakulam, Kerala, India
  • Vijo George, MD, DM Ernakulam General Hospital, Ernakulam, Kerala, India
  • Conrad Kabali, PhD Department of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Ontario, Canada

DOI:

https://doi.org/10.1532/hsf.3261

Keywords:

Quality of life, secondary prevention, coronary artery disease, myocardial infarction, percutaneous coronary intervention, coronary artery bypass grafting

Abstract

Background: Health-related quality of life (HRQOL) is emerging as an important outcome among patients with documented coronary artery disease (CAD). The primary objective of this study was to report the HRQOL of CAD patients under secondary prevention-related treatment and follow-up using the 36-Item Short Form (SF-36) tool.

Methods: This was an analytical cross-sectional survey done in a hospital/clinic setting. We recruited CAD patients 30 to 80 years old with 1 to 6 years of follow-up. Patients self-reported HRQOL using SF-36.

Results: We recruited 1206 patients, among whom 879 (72.9%) were male. The mean age of patients was 61.3 (9.6) years. Mean (± standard deviation) scores for physical functioning, role limitations due to physical health, pain, and general health were 66.48 ± 29.41, 78.96 ± 28.01, 80.96 ± 21.15, and 51.49 ± 20.19, respectively. The scores for role limitations due to emotional problems, energy/fatigue, emotional well-being, and social functioning were 76.62 ± 28.0, 66.18 ± 23.92, 76.91 ± 20.47, and 74.49 ± 23.55. In subgroup analysis, age, sex, type of CAD, and treatment showed no significant association with any of the 8 domains of QOL. In addition, hypertension and diabetes showed no significant association with the individual domains of HRQOL.

Conclusion: Patients with coronary artery disease under secondary prevention-related treatment have suboptimal HRQOL under both physical and mental domains. The role of demographic factors, comorbidities, disease subtypes, and treatment options in modifying HRQOL among patients with CAD appears to be minimal.

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Published

2021-02-15

How to Cite

sudevan, R., Raj, M. ., Damodaran, V., Thachathodiyl, R., Maniyal , V., Abdullakutty, J., Thomas, P., George, V., & Kabali, C. (2021). Health-Related Quality of Life of Coronary Artery Disease Patients under Secondary Prevention: A Cross-Sectional Survey from South India: HRQOL in CAD Patients Under Secondary Prevention. The Heart Surgery Forum, 24(1), E121-E129. https://doi.org/10.1532/hsf.3261

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