Objective To verify the predictive value of Sino System for Coronary Operative Risk Evaluation(SinoSCORE) on quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. Method A total of 234 patients in Peking University People’s Hospital undergoing CABG between November 2008 and September 2010 hadcompleted the preoperative and 6-month postoperative Short Form-36 (SF-36). There were 172 (73.5%) male patients and63 (26.5%) female patients. The average age was 63.0±10.1 years. According to the SinoSCORE, 234 patients were dividedinto three groups:low risk (SinoSCORE score less than 1 point,n=67), medium risk (SinoSCORE score 2-5 points,n=77) and high risk (SinoSCORE score more than 6 points,n=90) group. Clinical information of the 234 patients was collected, andthe score values of all patients were calculated according to the SinoSCORE model. Statistic methods were performed toevaluate the relationship between quality of life and SinoSCORE. Results The postoperative quality of life have improvedsignificantly, but the improvement of quality of life have no significantly different between groups. There was statisticallysignificant correlation between quality of life and SinoSCORE (P<0.05, r value at-0.150 to 0.255).Linear regression analysis showed that SinoSCORE was significantly collected with quality of life in multiple subgroups (P<0.05, r 2<0.1) .Conclusion SinoSCORE have statistically correlated with quality of life, and have certain but limited predictive value on quality of life in CABG patients.
Citation:
LIU Xi,CHEN Yu,ZHAO Zhou,LI Xin,LIU Gang.. Predictive Value of SinoSCORE on Quality of Life in Patients Undergoing Coronary Artery Bypass Grafting. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2013, 20(6): 653-657. doi: 10.7507/1007-4848.20130205
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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Spertus JA, Jennifer AW, Dewhurst TA, et al. Monitoring the qualityof life in patients with coronary artery disease. Am J Cardiol, 1994, 74 (12):1240-1244.
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2. |
郑哲, 张路, 胡盛寿. 中国冠状动脉旁路移植术风险评估. 中华心血管病杂志, 2010, 38 (10):901-904.
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3. |
中国心血管外科注册登记研究协作组. SinoSCORE对手术风险的评估作用. 中华胸心血管外科杂志, 2011, 27 (2):67-70.
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4. |
苏丕雄, 刘岩, 顾松, 等. SinoSCORE对CABG术后死亡和并发症的预测价值. 中华胸心血管外科杂志, 2011, 27 (2):71-74.
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5. |
郭惠明, 吴若彬, 肖学钧, 等. SinoSCORE预测心血管外科手术病死率——广东心血管病研究所经验. 中华胸心血管外科杂志, 2011, 27 (2):78-80.
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6. |
Ware JJ, Sherbourne CD. The MOS 36-item short-form health survey(SF-36).Ⅰ. Conceptual framework and item selection.Med Care, 1992, 30:473-483.
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7. |
李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36 (2):109-113.
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8. |
刘朝杰, 李宁秀, 任晓晖, 等. 36条目简明量表在中国人群中的适用性研究. 华西医科大学学报, 2001, 32 (1):39-42.
|
9. |
Zheng Z, Li Y, Zhang S;Chinese CABG Registry study. The Chinese Coronary Artery Bypass Grafting Registry Study:how well does the EuroSCORE predict operative risk for Chinese population ? Eur J Cardiothorac Surg, 2009, 35 (1):54-58.
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10. |
中国心血管外科注册登记研究协作组. 非体外循环冠状动脉旁路移植术后早期死亡风险预测-SinoSCORE与EuroSCORE评分的对比. 中华胸心血管外科杂志, 2011, 27 (2):75-77.
|
11. |
张春晓, 许建屏, 葛翼鹏, 等. 不同心脏手术风险预测评分系统对中国冠状动脉旁路移植术后患者早期死亡的预测. 中国胸心血管外科临床杂志, 2011, 18 (3):194-198.
|
12. |
中国心血管外科注册登记研究协作组. SinoSCORE预测瓣膜手术死亡风险. 中华胸心血管外科杂志, 2011, 27 (2):81-83.
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13. |
Colak Z, Segotic I, Uzun S, et al. Health related quality of life following cardiac surgery——correlation with EuroSCORE. Eur J Cardiothorac Surg, 2008, 33 (1):72-76.
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14. |
Loponen P, Luther M, Nissinen J, et al. EuroSCORE predicts health-related quality of life after coronary artery bypass grafting.Interact Cardiovasc Thorac Surg, 2008, 7 (4):564-568.
|
15. |
Peric V, Borzanovic M, Jovanovic A, et al. The relationshipbetween EuroSCORE preoperative risk prediction and quality of life changes after coronary artery by-pass surgery. Interact Cardiovasc Thorac Surg, 2005, 4 (6):622-626.
|
16. |
El Baz N, Middel B, Van Dijk JP, et al. EuroSCORE predicts poor health-related physical functioning six month postcoronary arterybypass graft surgery. J Cardiovasc Surg (Torino), 2008, 49 (5):663-672.
|
17. |
赵舟, 陈彧, 马琛明, 等. 欧洲心脏手术风险评估系统对冠状动脉旁路移植术后患者生存质量的预测价值. 中华心血管病杂志, 2010, 38 (2):103-107.
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18. |
Herlitz J, Wiklund I, Sjöland H, et al. Relief of symptoms andimprovement of quality of Life five years after coronary artery bypass grafting in relation to preoperative ejection fraction. Qual Life Res, 2000, 9 (4):467-476.
|
19. |
Jokinen JJ, Hippeläinen MJ, Turpeinen AK, et al. Health-related quality of life after coronary artery bypass grafting:a review ofrandomized controlled trials. J Card Surg, 2010, 25 (3):309-317.
|
20. |
Kiebzak GM, Pierson LM, Campbell M, et al. Use of the SF36 general health status survey to document health-related quality of life in patients with coronary artery disease:effect of disease and response to coronary artery bypass graft surgery. Heart Lung, 2002, 31 (3):207-213.
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21. |
Alonso Y. The biopsychosocial model in medical research:theevolution of the health concept over the last two decades. Patient Educ Couns, 2004, 53 (2):239-244.
|
- 1. Spertus JA, Jennifer AW, Dewhurst TA, et al. Monitoring the qualityof life in patients with coronary artery disease. Am J Cardiol, 1994, 74 (12):1240-1244.
- 2. 郑哲, 张路, 胡盛寿. 中国冠状动脉旁路移植术风险评估. 中华心血管病杂志, 2010, 38 (10):901-904.
- 3. 中国心血管外科注册登记研究协作组. SinoSCORE对手术风险的评估作用. 中华胸心血管外科杂志, 2011, 27 (2):67-70.
- 4. 苏丕雄, 刘岩, 顾松, 等. SinoSCORE对CABG术后死亡和并发症的预测价值. 中华胸心血管外科杂志, 2011, 27 (2):71-74.
- 5. 郭惠明, 吴若彬, 肖学钧, 等. SinoSCORE预测心血管外科手术病死率——广东心血管病研究所经验. 中华胸心血管外科杂志, 2011, 27 (2):78-80.
- 6. Ware JJ, Sherbourne CD. The MOS 36-item short-form health survey(SF-36).Ⅰ. Conceptual framework and item selection.Med Care, 1992, 30:473-483.
- 7. 李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36 (2):109-113.
- 8. 刘朝杰, 李宁秀, 任晓晖, 等. 36条目简明量表在中国人群中的适用性研究. 华西医科大学学报, 2001, 32 (1):39-42.
- 9. Zheng Z, Li Y, Zhang S;Chinese CABG Registry study. The Chinese Coronary Artery Bypass Grafting Registry Study:how well does the EuroSCORE predict operative risk for Chinese population ? Eur J Cardiothorac Surg, 2009, 35 (1):54-58.
- 10. 中国心血管外科注册登记研究协作组. 非体外循环冠状动脉旁路移植术后早期死亡风险预测-SinoSCORE与EuroSCORE评分的对比. 中华胸心血管外科杂志, 2011, 27 (2):75-77.
- 11. 张春晓, 许建屏, 葛翼鹏, 等. 不同心脏手术风险预测评分系统对中国冠状动脉旁路移植术后患者早期死亡的预测. 中国胸心血管外科临床杂志, 2011, 18 (3):194-198.
- 12. 中国心血管外科注册登记研究协作组. SinoSCORE预测瓣膜手术死亡风险. 中华胸心血管外科杂志, 2011, 27 (2):81-83.
- 13. Colak Z, Segotic I, Uzun S, et al. Health related quality of life following cardiac surgery——correlation with EuroSCORE. Eur J Cardiothorac Surg, 2008, 33 (1):72-76.
- 14. Loponen P, Luther M, Nissinen J, et al. EuroSCORE predicts health-related quality of life after coronary artery bypass grafting.Interact Cardiovasc Thorac Surg, 2008, 7 (4):564-568.
- 15. Peric V, Borzanovic M, Jovanovic A, et al. The relationshipbetween EuroSCORE preoperative risk prediction and quality of life changes after coronary artery by-pass surgery. Interact Cardiovasc Thorac Surg, 2005, 4 (6):622-626.
- 16. El Baz N, Middel B, Van Dijk JP, et al. EuroSCORE predicts poor health-related physical functioning six month postcoronary arterybypass graft surgery. J Cardiovasc Surg (Torino), 2008, 49 (5):663-672.
- 17. 赵舟, 陈彧, 马琛明, 等. 欧洲心脏手术风险评估系统对冠状动脉旁路移植术后患者生存质量的预测价值. 中华心血管病杂志, 2010, 38 (2):103-107.
- 18. Herlitz J, Wiklund I, Sjöland H, et al. Relief of symptoms andimprovement of quality of Life five years after coronary artery bypass grafting in relation to preoperative ejection fraction. Qual Life Res, 2000, 9 (4):467-476.
- 19. Jokinen JJ, Hippeläinen MJ, Turpeinen AK, et al. Health-related quality of life after coronary artery bypass grafting:a review ofrandomized controlled trials. J Card Surg, 2010, 25 (3):309-317.
- 20. Kiebzak GM, Pierson LM, Campbell M, et al. Use of the SF36 general health status survey to document health-related quality of life in patients with coronary artery disease:effect of disease and response to coronary artery bypass graft surgery. Heart Lung, 2002, 31 (3):207-213.
- 21. Alonso Y. The biopsychosocial model in medical research:theevolution of the health concept over the last two decades. Patient Educ Couns, 2004, 53 (2):239-244.