The aim of this study was to investigate the quality of life (HRQoL) in coronary artery disease(CAD) patients, admitted for rehabilitation within 3 months after an acute coronary event, in relation to treatment strategy [conservative treatment without revascularization (WR), percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass graft (CABG)]. Methods: Overall 719 consecutive CAD patients were involved in the study: WR (n=170), PTCA (n=226), CABG (n=323). HRQoL was estimated using the SF-36 questionnaire for total QoL and its two dimensions for physical and mental health [physical and mental component scores (PCS, MCS)]. Sexual dysfunction was assessed using the ASEX scale. Results: Significantly higher PCS, MCS and total SF-36, but lower ASEX score, were found in men compared with women. The ASEX score was significantly affected by age. Significantly higher PCS was found in PTCA group compared with that of CABG group. In multivariate analysis a significant positive association was obtained between PCS/MCS and male sex, between regular exercise, hyperlipoproteinemia, and permanent stress. ASEX was significantly positively associated with the age, CHF and non smoking. Conclusion: The results of this study have demonstrated significantly better HRQoL in men, younger CAD patients, patients who underwent PTCA and in patients without self-reported exposition to stress.
This study sought to explore the following issues 1) health-related quality of life (HRQoL) in Fabry patients relative to the general population 2) the quality of life (QoL) level in heterozygous females as compared to hemizygous males and the general population. A prospective, cross-sectional study was performed in patients diagnosed with Fabry disease in Poland (n=33). HRQoL was assessed with two generic questionnaires: the Medical Outcomes Study Short Form-36 (SF-36) and EuroQol questionnaire (EQ-5D), which includes the EQ-5D descriptive system and the EQ-visual analogue scale (EQ VAS), as well as a disease-specific author’s questionnaire. When measured with EQ-VAS, the subjective perception of health status was significantly lower in Fabry patients than that of the general population. SF-36 norm-based scores showed that patients are disadvantaged mainly in social functioning, bodily pain, and mental health. Objective assessments of HRQoL according to the EQ-5D Index tend to be lower for males than for females. Only male patients experienced extreme problems identified by the EQ-5D descriptive system. HRQoL of Fabry patients, measured by EQ-5D and SF-36, is lower as compared with that of the general population. Fabry disease effects QoL in its physical, mental and social dimensions.
Wstęp: Złamania dalszego końca kości promieniowej (DKKP) są jednymi z najczęściej spotykanych złamań w skali świata. Liczne badania sugerują, że operacyjne leczenie złamań DKKP jest powiązane z lepszą jakością życia. Cele: Celem pracy była ocena długoterminowej jakości życia po operacyjnym i nieoperacyjnym leczeniu złamań dalszego końca kości promieniowej u osób dorosłych. Materiał imetody: W retrospektywnym badaniu oceniono 207 pacjentów z izolowanym złamaniem DKKP (średni wiek 64 ±17,9 lat, 150 kobiet (72,5%) i 57 mężczyzn (27,5%). Nie stwierdzono istotnych statystycznie różnic w zakresie płci, wieku, kończyny dominującej, energii urazu, typu złamania wg AO i chorobach współistniejących między pacjentami leczonymi operacyjnie (n = 101) i nieoperacyjnie (n = 106). Po 3,9 ±1,6 roku (średnia ± odchylenie standardowe) dokonano oceny jakości życia za pomocą narzędzia Short Form Health Survey (SF-36) oraz International Osteoporosis Foundation Quality of Life Questionnaire (IOF QLQ) Wyniki czynnościowe oceniano za pomocą kwestionariuszy Disabilities of the Arm, Shoulder and Hand (DASH) oraz Patient Rated Wrist Evaluation (PRWE). Wyniki: Jakość życia pacjentów z złamaniami dalszego końca kości promieniowej leczonymi operacyjnie była lepsza niż w grupie leczonej nieoperacyjnie. Jednak u pacjentów w wieku 50 lat nie zaobserwowano istotnych statystycznie różnic w jakości życia niezależnie od metody leczenia. Wyniki SF-36 i IOF QLQ były skorelowane z wynikami DASH i PRWE. Wnioski: Kwestionariusze jakości życia są użytecznymi narzędziami do określania wyników leczenia po złamaniach dalszego końca kości promieniowej. Leczenie operacyjne nie zawsze skutkuje lepszą jakością życia niż postępowanie nieoperacyjne, zwłaszcza u pacjentów w wieku 50 lat i starszych ze złamaniami dalszego końca kości promieniowej.
EN
Introduction: Distal radius fractures (DRFs) are among the most commonly seen types of fractures worldwide. Numerous studies suggested that surgical treatment of DRFs results in better quality of life. Objectives: The aim of this study was to assess long-term quality of life after operative and nonoperative treatment of distal radius fractures among adults. Material and methods: We retrospectively studied 207 patients with isolated DRF (mean age 64 ±17.9 years, women comprised 150 (72.5%), men 57 (27.5%). There were no significant differences in sex, age, hand dominancy, energy of trauma, AO type fracture and comorbidities between patients treated operatively (n=101) and nonoperatively (n=106). After 3.9 ±1.6 years (mean ±SD) quality of life assessment was conducted using Short Form Health Survey (SF-36) and International Osteoporosis Foundation Quality of Life Questionnaire (IOF QLQ). Functional outcomes were evaluated using Disabilities of the Arm, Shoulder and Hand (DASH) and Patient Rated Wrist Evaluation (PRWE) questionnaires. Results: Quality of life in operatively treated distal radius fracture patients was better than amongst those treated nonsurgically. However, after subdivision of cohorts we observed no such differences regardless of treatment method in patients aged ≥ 50 years. SF-36 and IOF QLQ scores were correlated with DASH and PRWE results. Conclusions: Quality of life questionnaires are useful tools for determining outcomes after distal radius fractures. Operative treatment may not always be superior to nonoperative management especially in patients aged 50 years or above with distal radius fractures.
Introduction: Distal radius fractures (DRFs) are among the most commonly seen types of fractures worldwide. Numerous studies suggested that surgical treatment of DRFs results in better quality of life. Objectives: The aim of this study was to assess long-term quality of life after operative and nonoperative treatment of distal radius fractures among adults. Material and methods: We retrospectively studied 207 patients with isolated DRF (mean age 64 ±17.9 years, women comprised 150 (72.5%), men 57 (27.5%). There were no significant differences in sex, age, hand dominancy, energy of trauma, AO type fracture and comorbidities between patients treated operatively (n=101) and nonoperatively (n=106). After 3.9 ±1.6 years (mean ±SD) quality of life assessment was conducted using Short Form Health Survey (SF-36) and International Osteoporosis Foundation Quality of Life Questionnaire (IOF QLQ). Functional outcomes were evaluated using Disabilities of the Arm, Shoulder and Hand (DASH) and Patient Rated Wrist Evaluation (PRWE) questionnaires. Results: Quality of life in operatively treated distal radius fracture patients was better than amongst those treated nonsurgically. However, after subdivision of cohorts we observed no such differences regardless of treatment method in patients aged 50 years. SF-36 and IOF QLQ scores were correlated with DASH and PRWE results. Conclusions: Quality of life questionnaires are useful tools for determining outcomes after distal radius fractures. Operative treatment may not always be superior to nonoperative management especially in patients aged 50 years or above with distal radius fractures.
PL
Wstęp: Złamania dalszego końca kości promieniowej (DKKP) są jednymi z najczęściej spotykanych złamań w skali świata. Liczne badania sugerują, że operacyjne leczenie złamań DKKP jest powiązane z lepszą jakością życia. Cele: Celem pracy była ocena długoterminowej jakości życia po operacyjnym i nieoperacyjnym leczeniu złamań dalszego końca kości promieniowej u osób dorosłych. Materiał i metody: W retrospektywnym badaniu oceniono 207 pacjentów z izolowanym złamaniem DKKP (średni wiek 64 ±17,9 lat, 150 kobiet (72,5%) i 57 mężczyzn (27,5%). Nie stwierdzono istotnych statystycznie różnic w zakresie płci, wieku, kończyny dominującej, energii urazu, typu złamania wg AO i chorobach współistniejących między pacjentami leczonymi operacyjnie (n = 101) i nieoperacyjnie (n = 106). Po 3,9 ±1,6 roku (średnia ± odchylenie standardowe) dokonano oceny jakości życia za pomocą narzędzia Short Form Health Survey (SF-36) oraz International Osteoporosis Foundation Quality of Life Questionnaire (IOF QLQ) Wyniki czynnościowe oceniano za pomocą kwestionariuszy Disabilities of the Arm, Shoulder and Hand (DASH) oraz Patient Rated Wrist Evaluation (PRWE). Wyniki: Jakość życia pacjentów z złamaniami dalszego końca kości promieniowej leczonymi operacyjnie była lepsza niż w grupie leczonej nieoperacyjnie. Jednak u pacjentów w wieku ≥ 50 lat nie zaobserwowano istotnych statystycznie różnic w jakości życia niezależnie od metody leczenia. Wyniki SF-36 i IOF QLQ były skorelowane z wynikami DASH i PRWE. Wnioski: Kwestionariusze jakości życia są użytecznymi narzędziami do określania wyników leczenia po złamaniach dalszego końca kości promieniowej. Leczenie operacyjne nie zawsze skutkuje lepszą jakością życia niż postępowanie nieoperacyjne, zwłaszcza u pacjentów w wieku 50 lat i starszych ze złamaniami dalszego końca kości promieniowej.
Objectives: The aim of our study was to investigate a relationship between weekly physical activity and quality of life in elderly women. Methods: Participants were 22 elderly women ≥ 60 years (mean age 66 . 27 ± 4 . 99) with weight ≥ 50kg (mean weight 74.84 ± 14. 87kg) from Nitra. In this pilot study we used 2 questionnaires. The assessment of quality of life (QoL) was conducted by Short - Form General H ealth Survey (SF - 36). To examine weekly physical activity we selected International Physical Activity Questionnaire (IPAQ). Both questionnaires were evaluated separately by standardized scoring manual for SF - 36 and IPAQ. To examine a relationship between r esults of SF - 36 and IPAQ we used non - parametric Spearman's correlation coefficient (r s ). Results: The results from IPAQ show significant relationship between quantity and quality of weekly physical activity and age (r s = - 0. 562). More significant relations hips were found in results from SF - 36. The results showed significant relationship between domain of Vitality (r s = - 0. 508), Social Functioning (r s = - 0. 634), Mental Health (r s = - 0. 537), Mental Health Summary (r s = - 0. 549) and age. There was also signific ant relationship between domain of Vitality (r s = - 0. 598), Mental Health (r s = - 0. 505), Mental Health Summary (r s = - 0. 505) and weight. In this study, the results did not show relationship between weekly physical activity and domains from SF - 36. Conclusion s: According to the results from both questionnaires we follow the age - related decline of weekly physical activity, vitality and mental health. In our study, questionnaires IPAQ and SF - 36 did not show relationship between each other. For the further invest igation we intend to use different questionnaires for elderly people or we could measure the physical activity with pedometer or other new devices which are now available on the market.
Background: Last decade brought changes in trends of most frequently performed types of bariatric procedures. Despite the well-grounded knowledge of bariatric surgery positive impact on comorbidities, life prolongation, cancer risk, depression etc. there is still insufficient data on patients’ quality of life (QoL) after surgery. Methods: In this review PubMed and Scopus databases as well as Mendeley search engine were used for searching publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 publications, with 1630 patients in total were finally included. Results: Six different QoL tools were used: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of publications QoL was improved. Pre and postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving good to excellent outcomes. In some studies, QoL was better in females and in one study QoL did not achieve results of general population norms. There was no improvement in QoL after LSG in some studies or no correlation between %EWL and health related QOL. Conclusions: There is limited good quality research into QoL after LSG, though quality of life seems to be better after that procedure.
Background: Last decade brought changes in trends of most frequently performed types of bariatric procedures. Despite the well-grounded knowledge of bariatric surgery positive impact on comorbidities, life prolongation, cancer risk, depression etc. there is still insufficient data on patients’ quality of life (QoL) after surgery. Methods: In this review PubMed and Scopus databases as well as Mendeley search engine were used for searching publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 publications, with 1630 patients in total were finally included. Results: Six different QoL tools were used: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of publications QoL was improved. Pre and postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving good to excellent outcomes. In some studies, QoL was better in females and in one study QoL did not achieve results of general population norms. There was no improvement in QoL after LSG in some studies or no correlation between %EWL and health related QOL. Conclusions: There is limited good quality research into QoL after LSG, though quality of life seems to be better after that procedure.
Celem pracy była ocena jakości życia pacjenta po zawale mięśnia sercowego, leczonego PTCA i komórkami macierzystymi szpiku, a także poddanego rehabilitacji kardiologicznej. Materiał i metoda: badanie przy pomocy kwestionariusza SF-36 wykonano około 2 lata po zawale. Pacjent: mężczyzna, 46 lat, z zawałem serca trafił do szpitala im. Jana Pawła II w Krakowie, gdzie przeprowadzono zabieg PTCA oraz wszczepienie komórek macierzystych szpiku celem regeneracji uszkodzonego niedokrwieniem mięśnia sercowego. Pacjent przeszedł także rehabilitację szpitalną, sanatoryjną w Polanicy Zdrój oraz kontynuuje rehabilitację w warunkach domowych. Wnioski: w porównaniu z wynikami innych badaczy można stwierdzić, że pacjent po PTCA, komórkach macierzystych i rehabilitacji kardiologicznej uzyskał wyższe wyniki w zakresie wszystkich skal, za wyjątkiem RP (ograniczenia z powodu zdrowia fizycznego), w porównaniu z wynikami innych chorych po zawale mięśnia sercowego. Ogólna ocena jakości życia i całkowite zdrowie psychiczne okazały się także wyższe od wartości uzyskanych przez pacjentów wyłącznie po PTCA, jedynie wartość całkowitego zdrowia fizycznego okazała się niższa. Ogólna jakość życia okazała się również wyższa w porównaniu z wynikami uzyskanymi przez pacjentów po CABG.
EN
Aims: The aim of this study was to evaluate the quality of life in a patient after myocardial infarctionion undergoing cardiac rehabilitation, who had been treated with PTCA (Percutaneous Transluminal Coronary Angioplasty) and stem cells. Material and method: SF-36 test taken approx 2 years after the infarctionion. Patient: male, 46 years, treated for cardiac infarctionion at Jan Paweł II hospital in Cracow using PTCA and stem cells implantation in order to regenerate the cardiac muscle affected by ischemia. The patient was also subjected to hospital and sanatorium rehabilitation in Polanica Zdrój and continues rehabilitation at home. Conclusions: in comparison to the results of other authors it can be said that the patient after PTCA, stem cells and cardiac rehabilitation had better scores on all of the scales in the test apart from RP scale (role-physical) in comparison to results of other patients after myocardial infarction. The general quality of life and mental health scores proved to be higher than those attained by patients treated only with PTCA, however the GH score (general health) was lower than in the other patients. The general quality of life score was higher as well in comparison to patients after CABG (coronary artery by-pass grafting).
INTRODUCTION: Women’s awareness of a healthy lifestyle has significantly increased in recent years. However, during menopause the hormonal changes may influence the quality of life. Physical activity can significantly reduce the negative health effects associated with menopause. The aim of this study was to assess physical activity in menopausal women and its influence on the quality of life. MATERIAL AND METHODS: This study was conducted on 567 women aged 50–60 years. Group A was composed of 223 women, participants of the University of the Third Age, and group B contained 334 women, patients of gynecological wards and outpatient clinics. The physical activity level of all the study participants was assessed using the International Physical Activity Questionnaire (IPAQ) short form. SF-36 was used to assess the quality of life. RESULTS: The physical activity of the majority of women was at a moderate level – 52.9% in Group A and 70.2% in Group B, while 44.8% of women in Group A and 27.8% of patients in Group B had a high level of physical activity. There were significant differences between both groups in the physical component summary (p < 0.0004) and mental component summary (p < 0.0004). The physical component summary correlated with the participants’ ages. The physical functioning, general health and social functioning increased with a higher level of activity in the main group. CONCLUSIONS: Menopausal women participate mainly in moderate-intensity physical activity. A higher level of physical activity correlates with a better quality of life.
PL
WSTĘP: W ostatnich latach znacznie wzrosła świadomość kobiet w różnym wieku na temat zdrowego stylu życia. Okres menopauzy i związane z nim zmiany hormonalne mają wpływ na jakość życia, a odpowiedni poziom aktywności fizycznej może znacząco zmniejszyć negatywne skutki tego okresu. Celem pracy była ocena poziomu aktywności fizycznej kobiet w okresie menopauzy oraz jej wpływu na jakość życia. MATERIAŁ I METODY: Badania zostały przeprowadzone u 567 kobiet w wieku 50–60 lat, które włączono do 2 grup. Grupa A obejmowała 223 kobiet, uczestniczek Uniwersytetu Trzeciego Wieku, a Grupa B – 334 kobiety, które były pacjentkami oddziałów ginekologicznych i poradni dla kobiet. Poziom aktywności fizycznej został oceniony z użyciem kwestionariusza aktywności fizycznej IPAQ w wersji krótkiej. Do oceny jakości życia badanych kobiet wykorzystano SF-36. WYNIKI: Poziom aktywności fizycznej badanych kobiet określono jako umiarkowany w 52,9% w Grupie A oraz 70,2% w Grupie B. Wysoki poziom aktywności fizycznej odnotowano u 44,8% kobiet z grupy A i w 27,8% z grupy B. Stwierdzono istotne statystycznie różnice pomiędzy kobietami z Grupy A a kobietami z Grupy B w domenach zsumowanej składowej fizycznej (p < 0,0004) oraz zsumowanej składowej psychicznej (p < 0,0004). Wielkość składowej fizycznej korelowała z wiekiem badanych kobiet. Stan fizyczny, ogólny stan zdrowia i funkcjonowanie w społeczeństwie poprawiały się wraz ze wzrostem poziomu aktywności fizycznej. WNIOSKI: U kobiet w okresie menopauzalnym przeważa umiarkowany pozom aktywności fizycznej. Wysoki poziom tej aktywności koreluje z lepszą jakością życia.
SUMMARY The purpose of this study was to determine the quality of life of a patient with persistent complications of SARS-CoV-2 infection requiring urgens surgical intervention – endarterectomy with emergency angioplasty of an inflamed, bleeding Right Internal Carotid Artery (RICA) by direct access via Right Common Carotid Artery (RCCA), known as Transcarotid Artery Revascularization (TCAR). A patient in her 60s was infected with the SARS-CoV-2 virus and contracted COVID-19 in March 2022, as confirmed by RT PCR antigen test. The infection was followed by short- and long-term complications, many of which can be linked to COVID. These include significant weakness persisting for months after the illness, rapid weight loss of 25 kg, sleep disturbances, chronic fatigue, severe dizziness, onset of diabetes, decrease dimmunity with increased periodontal inflammation (including formation of a periapical abscess of a molar tooth) and secondary suppuration of the submandibular lymphnodes, one of which lying jacent to the right internal carotidartery (RICA). This accumulation of symptoms led the patient to seek medical and neuropsychological help. Test ingusing the Beck Depression Inventory (BDI) confirmed depression, with vegetative disorders being the most predominant. Eight months after undergoing COVID-19, the patient suffered a Transient Ischemic Attack (TIA). The accumulation of diseases (diabetes mellitus, stage III hypertension and TIA) had a dramatic impact on the patient's health, including life-threatening conditions.A vascular surgeon consulted the patient advised immediate surgical treatment: carotid endarterectomy. The urgency of the situation was exacerbated by bleeding during the operation from the operated, secondarily inflamed wall of the RICA (lying adjacent to the suppurated submandibular node). This prompted an emergency decision for an endovascular procedure: the implantation of a stent covered with water-proof material (peripheral stent graft). This was made by a direct access via puncture of the common carotid artery (RCCA) below the endarterectomy level (TCAR). The SF-36 questionnaire was chosen to measure health-related quality of life (HRQOL).The SF-36 results are presented in such a way that higher scores correspond to fewer complaints, indicating better health and higher quality of life. Before revascularization, the patient's HRQOL was found to be lower, which was related to the negative impact of long COVID, while after the procedure, the quality of life gradually improved in subsequent surveys. A significant difference was found in physical function, with a mean score of 66.0 (p<0.001) compared to a score of 94.9 (±9.4) for 100 age-matched health subjects. A similar result was found in the physical role (p < 0.001). The patient's overall quality of life score was 331.0 compared to a score of 578.0 (±111.9) for age-matched normal healthy people. Better quality of life in patients with long COVID is an important therapeutic goal that can be achieved through comprehensive, multispecialty treatment for both physical and psychological conditions.
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