Supervisors info:
Δημήτριος Τούσουλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κωνσταντίνος Τούτουζας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ελένη Κυρίτση, Ομ. Καθηγήτρια, Τμήμα Νοσηλευτικής , ΠΑΔΑ
Summary:
Introduction: The correlation of the way of performing left heart catheterization with a number of etiological and predisposing factors as well as its effects, not only on physical, but also on mental and socio-economic level, make it an important regulatory factor for the quality of life of people undergoing this method.
Aim: The aim of the present study was to evaluate the health-related quality of life of patients undergoing left heart catheterization with radial and femoral access and to highlight possible differences between the two methods.
Sample and Methodology: The sample was consisted of 95 patients submitted in coronary angiography or coronary angioplasty at the hospital of NIMTS. This is a cross-sectional study with convenience sampling. Data collection tools were the scale of EQ-5D-3L and the scale of VAS. The statistical tests of t-test, anova, Pearson correlation και x2-test we applied with a significance level of ≤5%.
Results: The largest percentage 81.1% were men, 74.7% were smokers, 35.8% were diabetic, 63.2% had hypertension, 56.8% were 66-87 years old and the access vessel at the percentage of 52.6% was the femoral artery and at 47.4% was the radial artery. The subjects whose puncture point was the femoral artery , score more negatively with a statistically significant difference the dimensions of the scale EQ-5D-3L mobility, p = 0.037, the dimension self-care p = 0.046 and the overall health status with p <0.001. No statistically significant differences were found in relation to the access vessel in the other dimensions of the scale, p> 0.05. The VAS pain scale has a positive correlation with the duration of the intervention , p <0.001, hospitalization hours, p = 0.001, mobility, p = 0.037, and a negative correlation with the overall state of health, p = 0.008
Conclusions: People who underwent left catheterization through radial access reported better quality of life and fewer complications. However, the quality of life of these patients is also affected by various other factors such as age,
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gender, comorbidities, BMS and other. Assessing patients' quality of life should be an important part of clinical practice
Keywords:
Quality of life, Angiography, Angioplasty ,Comparative study, Left heart catheterization
