Long-term quality of life in adult survivors after the arterial switch operation

Eur J Cardiothorac Surg. 2018 Dec 1;54(6):1001-1003. doi: 10.1093/ejcts/ezy178.

Abstract

Objectives: We sought to determine the quality of life after the arterial switch operation (ASO) using the Short Form 36 questionnaire in adult survivors.

Methods: All patients (n = 107) who underwent the ASO and were 18 years of age or older living in the Australian state of Victoria with a contact telephone number were identified from the hospital database. Fifty-one (48%) patients were 18-24 years old and 56 (52%) patients were 25-34 years old. Patients completed the Short Form 36 quality of life questionnaire via telephone. The results of the 8 domains of the Short Form 36 questionnaire and the derived health state summary score (Short Form 6-Dimension) were compared against mean scores from age-matched Australian population data.

Results: Compared with the Australian population age-matched data, 18- to 24-year-old ASO patients ranked their health higher in 3 of the 8 domains (P < 0.01). The 25-34 age group ranked their health higher in 4 of the 8 domains (P < 0.01). No statistically significant differences in the mean Short Form 6-Dimension scores were observed in the 18-24 age group (0.769 for ASO patients vs 0.772 for Australian population, P = 0.85) or the 25-34 age group (0.795 for ASO patients vs 0.780 for Australian population, P = 0.33).

Conclusions: Young adult survivors of the ASO have similar outcomes to age-matched controls in quality of life measured by Short Form 6-Dimension.

MeSH terms

  • Adolescent
  • Adult
  • Arterial Switch Operation* / adverse effects
  • Arterial Switch Operation* / mortality
  • Arterial Switch Operation* / statistics & numerical data
  • Cohort Studies
  • Humans
  • Quality of Life*
  • Surveys and Questionnaires
  • Transposition of Great Vessels / surgery*
  • Victoria / epidemiology
  • Young Adult