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Quality of Life Research

, Volume 14, Issue 3, pp 769–778 | Cite as

Quality of life before and after heart valve surgery is influenced by gender and type of valve

  • Marie-Christine Taillefer
  • Gilles Dupuis
  • Jean-François Hardy
  • Sylvie LeMay
Article

Abstract

Background: Quality of life (QoL) in valvular surgery may differ according to the underlying pathology and surgical technique used. Method: 82 adults undergoing their first elective surgery for valve repair (VP; n=9) or valve replacement (VR) with a mechanical valve (MVR; n=57) or bioprosthesis (BVR; n=16) were assessed before surgery and three months afterwards. Dependent variables: Δ scores (postoperative – preoperative) on QoL measures (Quality of Life Systemic Inventory (QLSI) and SF-36). Analyses: Paired t tests and ANCOVAs with age and preoperative QoL scores as covariates. Results: QoL improves after surgery according to most subscales. According to group comparisons, patients with an MVR improve more than those with a BVR on the mental health subscale. In physical roles, patients with an MVR improve while those with a BVR deteriorate. In emotional roles, patients with a VR improve while those with a VP deteriorate. However, they are similar on all other subscales. Women improve more than men on leisure, affectivity and social functioning while the opposite holds true for mental health. Conclusion: QoL improves after surgery. However, significant differences between groups are small because of a lack of statistical power.

Keywords

Cardiac surgery Gender Heart valve prosthesis Quality of life 

Abbreviations

ANCOVA

analysis of covariance

BVR

bioprosthesis

CABG

coronary artery bypass graft

MVR

mechanical valve replacement

QLSI

Quality of Life Systemic Inventory

QoL

quality of life

SF-36

Medical Outcome Study Short-Form 36

VP

valve repair

VR

valve replacement

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Copyright information

© Springer 2005

Authors and Affiliations

  • Marie-Christine Taillefer
    • 1
  • Gilles Dupuis
    • 2
  • Jean-François Hardy
    • 3
  • Sylvie LeMay
    • 4
  1. 1.Department of Psychology (currently Department of AnesthesiologyMontreal Heart InstituteCanada
  2. 2.Department of Psychology, Department of Psychosomatic MedicineMontreal Heart InstituteQuebecCanada
  3. 3.Faculty of Medicine, Department of AnesthesiologyUniversité de MontréalCanada
  4. 4.Faculty of NursingUniversité de MontréalQuebecCanada

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