Predictors of cardiac-related HRQOL in surgical patients with CHD
Variables | HRQOL domains | ||||||
Heart problem | Treatment problem | Physical appearance | Treatment anxiety | Cognitive problem | Communication problem | ||
B (SE) | B (SE) | B (SE) | B (SE) | B (SE) | B (SE) | ||
95% CI (lower to upper) | |||||||
Sociodemographics | Income | 2.85 (4.03) | 11.00 (6.81) | 7.57 (7.27) | 10.88 (7.54) | 2.78 (3.59) | 0.28 (8.49) |
−5.13 to 10.83 | −3.50 to 25.52 | −6.83 to 21.98 | −4.05 to 25.82 | −4.33 to 9.90 | −16.53 to 17.10 | ||
Parental education | 0.75 (3.71) | −1.00 (6.51) | −6.25 (6.73) | −10.82 (6.95) | 3.00 (3.31) | 5.36 (7.82) | |
6.62 to 8.11 | −14.88 to 12.88 | −19.60 to 7.09 | −24.58 to 2.94 | −3.56 to 9.56 | −10.12 to 20.85 | ||
Family structure | −0.27 (3.25) | 1.79 (6.68) | 9.88 (5.80) | 6.74 (6.09) | −0.45 (2.90) | 0.71 (6.80) | |
−6.71 to 6.18 | −12.44 to 16.02 | −1.61 to 21.38 | −5.32 to 18.80 | −6.20 to 5.30 | −12.76 to 14.18 | ||
Gender | −1.23 (3.35) | 0.28 (5.42) | −9.11 (5.8) | 0.71 (6.27) | 3.13 (2.99) | −5.35 (7.02) | |
−7.87 to 5.41 | −11.28 to 11.84 | −20.95 to 2.74 | −11.70 to 13.13 | −2.79 to 9.05 | −19.26 to 8.56 | ||
Clinical/surgical | CBT | −0.05 (0.03) | 0.09 (0.07) | −0.12* (0.06) | −0.10 (0.06) | −0.05 (0.03) | 0.02 (0.07) |
−0.11 to 0.02 | 0.06 to 0.23 | −0.23 to–0.01 | −0.22 to 0.02 | −0.11 to 0.01 | −0.11 to 0.16 | ||
Cardiac medications | −10.34* (−4.25) | 3.51 (10.46) | −2.43 (7.53) | −10.47 (7.94) | −7.67* (−3.79) | 20.91* (8.89) | |
−1.93 to –18.75 | −18.78 to 25.81 | −17.35 to 12.48 | −26.20 to 5.26 | −0.17 to –15.17 | 38.52 to 3.30 | ||
RACHS score | 5.76 (4.60) | 9.38 (5.49) | 10.44 (8.17) | −13.62 (8.61) | 1.20 (4.11) | −12.92 (9.64) | |
−3.37 to 14.88 | −2.33 to 21.08 | −5.74 to 26.62 | −30.68 to 3.44 | −6.94 to 9.33 | −32.02 to 6.19 | ||
Number of surgeries | −10.60* (−4.80) | −4.33 (7.12) | −0.30 (8.50) | 2.75 (8.98) | 1.90 (4.28) | −4.07 (10.13) | |
−20.17 to –1.09 | −19.51 to 10.85 | −17.15 to 16.56 | −15.05 to 20.55 | −6.59 to 10.38 | −24.14 to 15.99 | ||
Age at surgery | 0.59 (3.61) | −6.10 (6.56) | −5.53 (6.42) | 8.20 (6.76) | 0.51 (3.22) | 6.99 (7.56) | |
−6.57 to 7.75 | −20.09 to 7.88 | −18.27 to 7.19 | −5.19 to 21.58 | −5.87 to 6.89 | −7.99 to 21.96 | ||
CHD severity | −6.58 (4.20) | −11.34 (6.12) | −16.92* (7.44) | −7.97 (7.86) | −2.36 (3.75) | −14.53 (8.78) | |
−14.90 to 1.75 | −24.38 to 1.70 | −31.67 to –2.18 | −23.54 to 7.59 | −9.79 to 5.06 | −31.92 to 2.87 | ||
Length of stay | −0.11 (0.50) | −0.37 (0.91) | 0.45 (0.90) | 0.24 (0.94) | 0.37 (0.45) | 0.45 (1.05) | |
−1.10 to 0.88 | −2.31 to 1.58 | −1.34 to 2.24 | −1.63 to 2.10 | −0.52 to 1.26 | −1.63 to 2.54 |
*P<0.05.
B, unstandardised coefficient; CHD, congenital heart disease; CPB, cardiopulmonary bypass time; HRQOL, health-related quality of life; RACHS, risk adjustment for congenital heart surgery.