Volume : VIII, Issue : IV, April - 2019

Short term Outcome in Male and Female Indian Patients Undergoing CABG at Activity Levels and Quality of Life: Two Years Follow–up Study.

Dr Rakesh Kumar, Prof Hemant Narayan Roy

Abstract :

This study intended to find out the outcome (in terms of quality of life and activity levels) of coronary artery bypass graft surgery (CABG) in Indian population; and whether there are differences associated with gender of the patient. Standard SF 36 questionnaire is utilized to access patient’s general health, emotional status, and social activity following surgery. It has been noted that, there is significant apprehension amongst Indian population related to open heart surgery and that patient are hesitant to return back to their normal preoperative routine following heart surgery especially CABG. The socioeconomic and educational background of the Indian patient population is commonly such that it precludes them from returning to full activity status following surgery. Hence this study is conceptualized to objectivise the outcome following CABG surgery in Indian patients and also assess any gender differences noted in the outcome following this surgery. MATERIAL AND METHODS: Prospective analysis of one year follow up of patients undergoing coronary artery bypass grafting between 1st July 2015 – 31st October 2016, without having other cardiac complications like mitral regurgitation, ventricular dysfunction, ventricular aneurysm/rupture or other complication . Who are operated on pump/off pump, having pre–op diabetes or hypertension at Aims New Delhi, coming for follow up on routine interval, are included in this study. Using SF 36 questionnaire here we have recorded the patient detailed activity level and quality of life in post–op period, also we have observed the impact of CABG surgery on gender of the patient. We have compared the outcome in male and female patients, who underwent CABG surgery. We have follow–up them up–to one year ,at 1 week,1 month,3 month,6 month,12 month. We have included 168 patients within the period of study. Follow–up done both telephonically and during his office visits. Results : After 4 weeks from CABG (average 30 days), both men and women had less anxiety and symptoms related to depression than before surgery. After 6 months (average 184 days), both men and women improved in physical and social functioning. Although changes in scale scores were similar for men and women at each time point, women scored lower than men on these domains, and had more symptoms related to depression through 1 year after CABG. Conclusions : Both male and female patients improve in physical, social, and emotional functioning after CABG, and recovery over time is similar in men and women. However women’s health–related quality–of–life scale scores remained less favourable than men’s through 1 year after surgery.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

SHORT TERM OUTCOME IN MALE AND FEMALE INDIAN PATIENTS UNDERGOING CABG AT ACTIVITY LEVELS AND QUALITY OF LIFE: TWO YEARS FOLLOW-UP STUDY. , Dr Rakesh Kumar, Prof Hemant Narayan Roy INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-4 | April-2019

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