Comparison of Short-Term Quality of Life between Percutaneous Device Closure and Surgical Repair via Median Sternotomy for Atrial Septal Defect in Adult Patients

Abstract

Objective

To compare the quality of life and psychological state of patients after receiving different closure treatments for atrial septal defect (ASD) and to explore some factors affecting the quality of life of patients after ASD closure.

Methods

Fifty-five patients who underwent percutaneous device closure of ASD (group A) and fifty-five patients who underwent surgical repair via median sternotomy of ASD (group B) were followed up from before to one year after surgery to assess their quality of life. We used the Medical Outcomes Study 36-Item Short-Form (SF-36) and the Hospital Anxiety and Depression Scale (HADS) to evaluate the quality of life of patients.

Results

Both groups had improved HADS scores after operation. In the comparison of the postoperative quality of life between the two groups, group A was superior to group B on some dimensions of the SF-36, and there was a significant difference in HADS scores. Age was negatively correlated with quality of life.

Conclusions

In adults over 18 years of age, the quality of life after surgical repair or percutaneous device closure of ASD improved significantly. Compared with surgical repair via median sternotomy, percutaneous device closure has a more significant effect on the improvement in some aspects of people’s quality of life.

Keywords:

• Quality of life
• ASD
• surgery
• device

Acknowledgments

We acknowledge the contributions made by the participating doctors, Dao-zhong Chen, Feng Lin, Qi-min Wang, Han-fan Qiu, Xue-shan Huang, Dong-shan Liao, Xiao-fu Dai, and Zeng-chun Wang, from the Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University.

Disclosure statement

The authors declare that they have no competing interests.

Author contributions

K-pS, QC, L-wC and HC designed the study, performed the statistical analysis, participated in the operation, and drafted the manuscript. NX and S-tH collected the clinical data. All authors read and approved the final manuscript.

Additional information

Funding

The National Key Research and Development Program of China (grant no. 2016YFC1301900)