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August 12, 1983, Vol 250, No. 6 >
ARTICLE | August 12, 1983

Coronary Artery Bypass Surgery: Title and subTitle BreakPhysical, Psychological, Social, and Economic Outcomes Six Months Later FREE

C. David Jenkins, PhD; Babette-Ann Stanton, PhD; Judith A. Savageau, MPH; Philip Denlinger; Michael D. Klein, MD
[+] Author Affiliations

Reprint requests to Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX 77550 (Dr Jenkins).


JAMA. 1983;250(6):782-788. doi:10.1001/jama.1983.03340060060027
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References

To evaluate the benefits of coronary artery bypass graft (CABG) surgery, we interviewed and tested 318 patients (268 men and 50 women) younger than age 70 before and six months after elective CABG at four university medical centers. Biomedical, psychoneurological, physical function, role function, occupational, social, family, sexual, emotional, and attitudinal variables were assessed. Quantitative comparisons showed improvement on many factors. Angina was completely relieved for 69% to 85% of persons, depending on whether it had been induced by exertion or other events. Disability days were reduced more than 80%. Seventy-five percent of employed persons had returned to work. Anxiety, depression, fatigue, and sleep problems declined. Vigor and well-being scores rose significantly. When losses were expected (eg, psychoneurological function, marital adjustment), they generally were not found. For none of the more than 60 outcome variables was widespread serious worsening found. The findings suggest that the great majority of patients are able to resume normal economic and social functioning within six months after CABG.

(JAMA 1983;250:782-788)

REFERENCES

1 +
McIntosh HD, Garcia JA:  The first decade of aortocoronary bypass grafting, 1967-1977: A review . Circulation 1978;;57:405-431.
2 +
Campeau L, Philippe L, Herman J, et al:  Recurrence of angina after coronary bypass surgery . J Cardiovasc Med 1981;;6:69-71.
3 +
Barnes GK, Ray MJ, Oberman A, et al:  Changes in working status of patients following coronary bypass surgery . JAMA 1977;;238:1259-1262.
4 +
Symmes JC, Lenkei SC, Berman N:  Influence of aortocoronary bypass surgery on employment . Can Med Assoc J 1978;;118:268-270.
5 +
Anderson AJ, Barboriak JJ, Hoffmann RG, et al:  Retention or resumption of employment after aortocoronary bypass operations . JAMA 1980;;243:543-545.
6 +
LaMendola WF, Pellegrini RV:  Quality of life and coronary artery bypass surgery patients . Soc Sci Med 1979;;13A:457-461.
7 +
Frank KA, Heller SS, Kornfeld DS:  A survey of adjustment to cardiac surgery . Arch Intern Med 1972;;130:735-738.
8 +
Heller SS, Frank KA, Kornfeld DS, et al:  Psychological outcome following open-heart surgery . Arch Intern Med 1974;;134:908-914.
9 +
Ross JK, Diwell AE, Marsh J, et al:  Wessex cardiac surgery follow-up survey: The quality of life after operation . Thorax 1978;;33:3-9.
10 +
Braunwald E:  Evaluation of the efficacy of coronary bypass surgery: II . Am J Cardiol 1978;;42:161-162.
11 +
Loop FD, Proudfit WL, Sheldon WC:  Coronary bypass surgery weighed in the balance . Am J Cardiol 1978;;42:154-156.
12 +
Rose GA, Blackburn H: Cardiovascular Survey Methods . Geneva, World Health Organization, 1968;.
13 +
Reitan RM: Trailmaking Test: Manual for Administration, Scoring and Interpretation . Indianapolis, Indiana University Medical Center, 1958;.
14 +
Wechsler D:  A standardized memory scale for clinical use . J Psychol 1945;;19:87-95.
15 +
McNair DM, Lorr M, Droppleman LF: Profile of Mood-States: Manual . San Diego, Educational and Industrial Testing Service, 1971;.
16 +
Spielberger CD, Gorsuch RL, Lushene RE: Manual for the State-Trait Anxiety Inventory (Self-evaluation Questionnaire) . Palo Alto, Calif, Consulting Psychologists Press, 1970;.
17 +
Bradburn NM: The Structure of Psychological Well-being , National Opinion Research Center Monograph in Social Research. Chicago, Aldine Publishing Co, 1969;.
18 +
Robinson JP, Shaver PR: Measures of Social Psychological Attitudes . Ann Arbor, University of Michigan Institute for Social Research, 1969;, pp 98-101.
19 +
Beck AT, Weissman A, Lester D, et al:  The measurement of pessimism: The Hopelessness Scale . J Consult Clin Psychol 1974;;42:861-865.
20 +
Savageau JA, Stanton BA, Jenkins CD, et al:  Neuropsychological dysfunction following elective cardiac operation: II. A six-month reassessment . J Thorac Cardiovasc Surg 1982;;84:595-600.
21 +
Spielberger CD:  Stress, anxiety and cardiovascular disease . J SC Med Assoc 1976;; 72( (suppl) ):15-22.
22 +
Reul GJ Jr, Cooley DA:  Long-term survival following aortocoronary artery bypass . Eur Surg Res 1976;;8:349-357.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
McIntosh HD, Garcia JA:  The first decade of aortocoronary bypass grafting, 1967-1977: A review . Circulation 1978;;57:405-431.
2 +
Campeau L, Philippe L, Herman J, et al:  Recurrence of angina after coronary bypass surgery . J Cardiovasc Med 1981;;6:69-71.
3 +
Barnes GK, Ray MJ, Oberman A, et al:  Changes in working status of patients following coronary bypass surgery . JAMA 1977;;238:1259-1262.
4 +
Symmes JC, Lenkei SC, Berman N:  Influence of aortocoronary bypass surgery on employment . Can Med Assoc J 1978;;118:268-270.
5 +
Anderson AJ, Barboriak JJ, Hoffmann RG, et al:  Retention or resumption of employment after aortocoronary bypass operations . JAMA 1980;;243:543-545.
6 +
LaMendola WF, Pellegrini RV:  Quality of life and coronary artery bypass surgery patients . Soc Sci Med 1979;;13A:457-461.
7 +
Frank KA, Heller SS, Kornfeld DS:  A survey of adjustment to cardiac surgery . Arch Intern Med 1972;;130:735-738.
8 +
Heller SS, Frank KA, Kornfeld DS, et al:  Psychological outcome following open-heart surgery . Arch Intern Med 1974;;134:908-914.
9 +
Ross JK, Diwell AE, Marsh J, et al:  Wessex cardiac surgery follow-up survey: The quality of life after operation . Thorax 1978;;33:3-9.
10 +
Braunwald E:  Evaluation of the efficacy of coronary bypass surgery: II . Am J Cardiol 1978;;42:161-162.
11 +
Loop FD, Proudfit WL, Sheldon WC:  Coronary bypass surgery weighed in the balance . Am J Cardiol 1978;;42:154-156.
12 +
Rose GA, Blackburn H: Cardiovascular Survey Methods . Geneva, World Health Organization, 1968;.
13 +
Reitan RM: Trailmaking Test: Manual for Administration, Scoring and Interpretation . Indianapolis, Indiana University Medical Center, 1958;.
14 +
Wechsler D:  A standardized memory scale for clinical use . J Psychol 1945;;19:87-95.
15 +
McNair DM, Lorr M, Droppleman LF: Profile of Mood-States: Manual . San Diego, Educational and Industrial Testing Service, 1971;.
16 +
Spielberger CD, Gorsuch RL, Lushene RE: Manual for the State-Trait Anxiety Inventory (Self-evaluation Questionnaire) . Palo Alto, Calif, Consulting Psychologists Press, 1970;.
17 +
Bradburn NM: The Structure of Psychological Well-being , National Opinion Research Center Monograph in Social Research. Chicago, Aldine Publishing Co, 1969;.
18 +
Robinson JP, Shaver PR: Measures of Social Psychological Attitudes . Ann Arbor, University of Michigan Institute for Social Research, 1969;, pp 98-101.
19 +
Beck AT, Weissman A, Lester D, et al:  The measurement of pessimism: The Hopelessness Scale . J Consult Clin Psychol 1974;;42:861-865.
20 +
Savageau JA, Stanton BA, Jenkins CD, et al:  Neuropsychological dysfunction following elective cardiac operation: II. A six-month reassessment . J Thorac Cardiovasc Surg 1982;;84:595-600.
21 +
Spielberger CD:  Stress, anxiety and cardiovascular disease . J SC Med Assoc 1976;; 72( (suppl) ):15-22.
22 +
Reul GJ Jr, Cooley DA:  Long-term survival following aortocoronary artery bypass . Eur Surg Res 1976;;8:349-357.

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