The impact of transcatheter aortic valve implantation on quality of life: A mixed methods study.
Heart Lung
; 46(6): 432-438, 2017.
Article
em En
| MEDLINE
| ID: mdl-28985898
ABSTRACT
OBJECTIVE:
To provide an in-depth understanding of patients' views about the impact of transcatheter aortic valve implantation on self-reported quality of life.BACKGROUND:
Transcatheter aortic valve implantation is considered to be the gold standard of care for inoperable patients diagnosed with severe symptomatic aortic stenosis. Mid- to long-term clinical outcomes are favourable and questionnaire data indicates improvements in quality of life but an in-depth understanding of how quality of life is altered by the intervention is missing.METHODS:
A mixed methods study design with a total of 89 in-depth qualitative interviews conducted with participants (39% male; mean age 81.7 years), 1 and 3 months post TAVI, recruited from a regional centre in England. Data were triangulated with questionnaire data (SF-36 and EQ5D-VAS) collected, pre, 1 and 3 months post implantation.RESULTS:
Participants' accounts were characterised by four key themes; shortened life, extended life, limited life and changed life. Quality of life was changed through two mechanisms. Most participants reported a reduced symptom burden and all explained that their life expectancy was improved. Questionnaire data supported interview data with gradual improvements in mean EQ-5D scores and SF-36 physical and mental domain scores at 1 and 3 months compared to baseline.CONCLUSION:
Findings suggest that TAVI was of variable benefit, producing considerable improvements in either mental or physical health in many participants, while a smaller proportion continued to deteriorate.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Valva Aórtica
/
Estenose da Valva Aórtica
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Qualidade de Vida
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Autorrelato
/
Substituição da Valva Aórtica Transcateter
Tipo de estudo:
Qualitative_research
Aspecto:
Patient_preference
Limite:
Aged80
/
Female
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Humans
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Male
Idioma:
En
Revista:
Heart Lung
Ano de publicação:
2017
Tipo de documento:
Article