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Christopoulou G, Sigala E, Aragiannis D, Stamatopoulou E, Manthou P, Gkiata P, Vlachopoulos C, Trantalis G, Drakopoulou M, Toutouzas K, Tsioufis K. Short-term health-related quality of life in patients with ischaemic stroke after PFO closure. Eur J Cardiovasc Nurs 2021. [DOI: 10.1093/eurjcn/zvab060.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction/Purpose: Patent foramen ovale (PFO) is common in asymptomatic adults and is associated with cryptogenic stroke (CS). We sought to evaluate the impact of PFO closure in health-related quality of life (HRQoL) in PFO patients with CS.
Method
In this pilot study, 19 patients (mean age 47 ± 7.7; 13 male) who underwent PFO closure at our center were invited to a short-term clinical follow up (mean follow-up period 6-10 months). All patients had suffered an ischaemic stroke and their disability level was assessed using the Modified Rankin Scale (MRS, no significant disability 63%). HRQoL was assessed using the 36-Item Short Form Survey (SF-36) and the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) preoperatively and at follow-up.
Results
Both SF36 and EQ-5D scores improved after the operation as shown by the self-rating scores (20,67% and 40,52% higher scores, respectively). Patients with major mobility problems were more likely to be current smokers (r = 0.481) and those who had lower scores on the MRS scale (r=-0.571) rated higher their scale diagram. The categories of energy/fatigue (r = 0.459; p = 0.048), social functioning (r = 0.547; p = 0.015) and pain (r = 0.550; p = 0.015) were positively correlated with physical function. Finally, there was a positive correlation between role limitations due to emotional problems and energy/fatigue (r = 0,519; p = 0.023), and between energy/fatigue and emotional well-being (r = 0.519; p = 0,023).
Conclusions
The results of our study indicate that shortly after PFO, subjects perceive improvements in their QoL. However, it seems that poorly rated physical function was more common in active smokers, and affects patients" social life and their emotional state. Health care professionals should encourage these patients to participate in rehabilitation and psychological support programs postoperatively.
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Affiliation(s)
| | - E Sigala
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - D Aragiannis
- Ippokrateio General Hospital of Athens, Athens, Greece
| | | | - P Manthou
- Sotiria Regional Chest Diseases Hospital, Athens, Greece
| | - P Gkiata
- Ippokrateio General Hospital of Athens, Athens, Greece
| | | | - G Trantalis
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - M Drakopoulou
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - K Toutouzas
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - K Tsioufis
- Ippokrateio General Hospital of Athens, Athens, Greece
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Manthou P, Katsoulas T, Korobeli A, Kiriakou L, Fildissis G. Knowledge and use of therapeutic hypothermia in cardiac arrest victims among healthcare staff in Greece. Crit Care 2014. [PMCID: PMC4069491 DOI: 10.1186/cc13685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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