scholarly journals Quality of life of patients after total anomalous pulmonary venous connection repair

2021 ◽  
pp. 59-65
Author(s):  
M.V. Plotnikov ◽  
◽  
Y.N. Gorbatih ◽  
D.G. Tarasov ◽  
A.V. Bogachev-Prokopiev ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Period ◽  
Total Sample ◽  
Surgical Correction ◽  
Randomised Study ◽  
Anomalous Pulmonary Venous Connection ◽  
Cognitive Problems ◽  
Prospective Randomised Study

Aim of study. To evaluate the quality of life of children with total anomalous pulmonary venous connection corrected via two methods: the “sutureless” one and the conventional biatrial one. Material and methods. This pilot bicentral simple blind prospective randomised study presents evaluation of patients’ quality of life after surgical correction of total anomalous pulmonary venous connection in 1-year-old children via two methods: the “sutureless” correction (20 patients) and conventional biatrial correction (20 patients). The total sample size amounted to 40 patients. Results. All indices were at quite high levels. The indices of treatment, treatment-related anxiety, cognitive problems and sociability were significantly higher in the group treated via the “sutureless” method. However, the myocardium-related issues and symptoms as well as the appearance perception did not differ between the groups. Conclusion. The quality of life of children after surgical correction of total anomalous pulmonary venous connection in long-term postoperative period remains elevated in both groups despite the high variety of complications

scholarly journals To the issue of the health comprehensive assessment of children who underwent surgical correction of congenital heart diseases

2020 ◽  
Vol 8 (4S) ◽  
pp. 42-50
Author(s):  
L. N. Igisheva ◽  
A. A. Anikeenko ◽  
S. A. Shmulevich ◽  
I. N. Sizova
Keyword(s):  
Quality Of Life ◽  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Rehabilitation Program ◽  
Comprehensive Assessment ◽  
Surgical Correction ◽  
Long Time

Aim. To find out the problems in children health in long-time postoperative period after cardiosurgery using the comprehensive method for creating rehabilitation program.Methods. A prospective investigation of group of children was done before (n = 88) and in a year (n = 115), in 2 years (n = 90) and in 3 years (n = 58) after the surgical correction of congenital heart defects on the base of Kuzbass cardiological center. The anamnesis, clinical and hemodynamic aspects were studied as well as the postoperative period, residual problems after the correction, social status of the family and the comprehensive assessment was done in the both groups.Results. Before the correction the most part of children had low and very low levels of physical functioning, but there was a positive dynamic right after the surgery: the most part of children had high and middle levels (13% and 44% in a year), while the amount of children with low and very low data were reduced. Nevertheless, in 3 years after the surgery the amount of children with low and very low data was increased while the hemodynamic became better. Such tendency was mentioned with all aspects of the health.Conclusion. Despite of hemodynamic normalization the quality of life with all aspects still suffers. It predicts dangers in development and quality of life in general.

scholarly journals Stability of Drinking Reductions and Long-term Functioning Among Patients with Alcohol Use Disorder

2020 ◽  
Author(s):  
Katie Witkiewitz ◽  
Henry R. Kranzler ◽  
Kevin A. Hallgren ◽  
Deborah S. Hasin ◽  
Arnie P. Aldridge ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Well Being ◽  
Total Sample ◽  
World Health ◽  
End Of Treatment

Abstract Background The World Health Organization (WHO) categorizes alcohol consumption according to grams consumed into low-, medium-, high-, and very-high-risk drinking levels (RDLs). Although abstinence has been considered the ideal outcome of alcohol treatment, reductions in WHO RDLs have been proposed as primary outcomes for alcohol use disorder (AUD) trials. Objective The current study examines the stability of WHO RDL reductions and the association between RDL reductions and long-term functioning for up to 3 years following treatment. Design and Participants Secondary data analysis of patients with AUD enrolled in the COMBINE Study and Project MATCH, two multi-site, randomized AUD clinical trials, who were followed for up to 3 years post-treatment (COMBINE: n = 694; MATCH: n = 806). Measures Alcohol use was measured via calendar-based methods. We estimated all models in the total sample and among participants who did not achieve abstinence during treatment. Key Results One-level RDL reductions were achieved by 84% of patients at the end of treatment, with 84.9% of those individuals maintaining that reduction at a 3-year follow-up. Two-level RDL reductions were achieved by 68% of patients at the end of treatment, with 77.7% of those individuals maintaining that reduction at a 3-year follow-up. One- and two-level RDL reductions at the end of treatment were associated with significantly better mental health, quality of life (including physical quality of life), and fewer drinking consequences 3 years after treatment (p < 0.05), as compared to no change or increased drinking. Conclusion AUD patients can maintain WHO RDL reductions for up to 3 years after treatment. Patients who had WHO RDL reductions functioned significantly better than those who did not reduce their drinking. These findings are consistent with prior reports suggesting that drinking reductions, short of abstinence, yield meaningful improvements in patient health, well-being, and functioning.

Patients’ Characteristics Associated With Readmission to a Surgical Intensive Care Unit

2012 ◽  
Vol 21 (6) ◽  
pp. e120-e128 ◽  
Author(s):  
T. K. Timmers ◽  
M. H. J. Verhofstad ◽  
K. G. M. Moons ◽  
L. P. H. Leenen
Keyword(s):  
Quality Of Life ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Severity Of Illness ◽  
Total Sample ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Term Survival

Background Readmission within 48 hours is a leading performance indicator of the quality of care in an intensive care unit. Objective To investigate variables that might be associated with readmission to a surgical intensive care unit. Methods Demographic characteristics, severity-of-illness scores, and survival rates were collected for all patients admitted to a surgical intensive care unit between 1995 and 2000. Long-term survival and quality of life were determined for patients who were readmitted within 30 days after discharge from the unit. Quality of life was measured with the EuroQol-6D questionnaire. Multivariate logistic analysis was used to calculate the independent association of expected covariates. Results Mean follow-up time was 8 years. Of the 1682 patients alive at discharge, 141 (8%) were readmitted. The main causes of readmission were respiratory decompensation (48%) and cardiac conditions (16%). Compared with the total sample, patients readmitted were older, mostly had vascular (39%) or gastrointestinal (26%) disease, and had significantly higher initial severity of illness (P = .003, .007) and significantly more comorbid conditions (P = .005). For all surgical classifications except general surgery, readmission was independently associated with type of admission and need for mechanical ventilation. Long-term mortality was higher among patients who were readmitted than among the total sample. Nevertheless, quality-of-life scores were the same for patients who were readmitted and patients who were not. Conclusion The adverse effect of readmission to the intensive care unit on survival appears to be long-lasting, and predictors of readmission are scarce.

scholarly journals Impact of the method of reconstruction after oncologic oesophagectomy on quality of life — a prospective, randomised study

2011 ◽  
Vol 39 (1) ◽  
pp. 109-114 ◽  
Author(s):  
Cheng Zhang ◽  
Qing-Chen Wu ◽  
Peng-Yuan Hou ◽  
Min Zhang ◽  
Qiang Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomised Study ◽  
Prospective Randomised Study

scholarly journals Results of the early and mid-term postoperative period after correction of total anomalous pulmonary venous connection

2021 ◽  
Vol 25 (4) ◽  
pp. 41
Author(s):  
M. V. Plotnikov ◽  
Yu. N. Gorbatykh ◽  
A. N. Аrkhipov ◽  
M. G. Galstyan ◽  
A. V. Bogachev-Prokophiev ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Conflict Of Interest ◽  
Pulmonary Veins ◽  
Sutureless Repair ◽  
Randomised Study ◽  
Data Collection And Analysis ◽  
Anomalous Pulmonary Venous Connection ◽  
Repair Group

<p><strong>Aim.</strong> To compare complications and outcomes in the postoperative period with two different methods for correcting total anomalous pulmonary venous connection.</p><p><strong>Methods. </strong>In this pilot, two-centre, simple, blind, prospective randomised study, the patients’ quality of life after correction of total anomalous pulmonary venous connection in infancy was evaluated using the sutureless (n = 20) and conventional repair methods (n = 20) in 40 patients. The overall mortality and complications in the mid-term were evaluated.</p><p><strong>Results.</strong> The average follow-up was 15 (13; 16) months. Mortality was noted only in the conventional repair group, amounting to 5 (25%) patients (p = 0.018). Severe obstruction of the pulmonary veins anastomosis was also noted only in the conventional repair group (n = 8, 40%; p = 0.0013). Infectious endocarditis was observed in one (6.6%) patient in the conventional repair group (p = 0.42). Arrhythmias were present in 4 (26.6%) patients in the conventional repair group (p = 0.02).</p><p><strong>Conclusion.</strong> The rates of obstruction of the pulmonary vein anastomosis, arrhythmias and death depend on the method of total anomalous pulmonary venous connection correction. The sutureless repair reduces the incidence of early and mid-term postoperative complications compared to conventional repair.</p><p>Received 16 March 2021. Revised 8 June 2021. Accepted 11 June 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interest.</p><p><strong>Contribution of the authors<br /> </strong>Conception and study design: Yu.N. Gorbatykh, A.V. Bogachev-Prokophiev, M.V. Plotnikov<br /> Data collection and analysis: M.V. Plotnikov, M.G. Galstyan, D.G. Tarasov<br /> Statistical analysis: M.V. Plotnikov<br /> Drafting the article: M.V. Plotnikov, Yu.N. Gorbatykh<br /> Critical revision of the article: I.A. Soynov<br /> Final approval of the version to be published: M.V. Plotnikov, Yu.N. Gorbatykh, A.N. Аrkhipov, M.G. Galstyan, A.V. Bogachev-Prokophiev, D.G. Tarasov, I.A. Soynov</p>

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