Sustained 3-Year Benefits in Quality of Life After Percutaneous Coronary Interventions in the Elderly- A Prospective Cohort Study

Apr 1, 2018, 00:00
10.1016/j.jval.2017.10.004
https://www.valueinhealthjournal.com/article/S1098-3015(17)33611-2/fulltext
Title : Sustained 3-Year Benefits in Quality of Life After Percutaneous Coronary Interventions in the Elderly- A Prospective Cohort Study
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(17)33611-2&doi=10.1016/j.jval.2017.10.004
First page : 423
Section Title : PATIENT-REPORTED OUTCOMES
Open access? : No
Section Order : 9

Background

Impact of percutaneous coronary interventions (PCI) on health-related quality of life (HRQOL) is important but under-reported in elderly patients.

Objectives

To evaluate long-term health status in elderly patients who underwent PCI.

Methods

Consecutive patients who underwent PCI at a university-affiliated hospital from September 2009 to June 2012 were prospectively enrolled with HRQOL assessment at baseline (up to 2 weeks before PCI) and at 6-, 12-, and 36-month follow-up using the EuroQol five-dimensional questionnaire descriptive profile and visual analogue scale (VAS). Minimally important benefit (MIB) in HRQOL was defined as greater than half an SD improvement in the baseline VAS score.

Results

Of 1957 patients, 49.9%, 29.1%, and 21.0% were aged younger than 65 years, 65 to 74 years, and 75 years and older, respectively. Mean VAS scores at baseline (50.1 ± 20.5 vs. 51.6 ± 20.5 vs. 52.6 ± 21.8; P = 0.09) and at 36 months (72.9 ± 14.0 vs. 72.8 ± 16.1 vs. 72.0 ± 14.8; P = 0.77) were similar between the three age groups, respectively. MIB at 36 months was observed in 65.7%, 61.9%, and 61.2% of patients in each age group, respectively. Proportion of patients aged 75 years and older reporting problems in pain/discomfort and self-care reduced from 91.2% and 24.8% at baseline to 41.4% and 10.1% at 36 months, respectively (both P 0.01).

Conclusions

Elderly patients experienced sustained long-term improvement in quality of life comparable with younger patients after PCI. Our findings suggest that age per se should not deter against revascularization because of sustained benefit in HRQOL.

Categories :
Tags :
  • elderly
  • EQ-5D
  • health-related quality of life
  • percutaneous coronary intervention (PCI)
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