1. [Quality of life in patients with postoperative unilateral diaphragm relaxation].
- Author
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Topolnitskiy EB, Shefer NA, and Yunusov AN
- Subjects
- Humans, Male, Female, Middle Aged, Postoperative Period, Surveys and Questionnaires, Adult, Respiratory Function Tests methods, Respiratory Paralysis surgery, Respiratory Paralysis physiopathology, Respiratory Paralysis etiology, Spirometry methods, Treatment Outcome, Quality of Life, Diaphragm physiopathology, Diaphragm surgery, Thoracic Surgery, Video-Assisted methods
- Abstract
Objective: To evaluate the quality of life before and after video-assisted thoracoscopic plication of relaxed dome of diaphragm., Material and Methods: The study included 17 patients operated on for unilateral relaxation of diaphragm. We analyzed quality of life in preoperative period, 1, 3, 6 and 12 months after surgery using the SF-36 and EuroQ-5D-5L questionnaires. To assess the impact of abnormality on respiratory function, we estimated diaphragm position, spirometry data and SGRQ scores., Results: FVC increased by 16.5% after 1 month, 19.5% after 6 months and 20.1% after 12 months. In addition, FEV1 significantly increased (by 12.6% after 1 month, 10.1% after 6 months and 12.7% after 12 months). Mean values of diaphragm elevation in postoperative period decreased by 25.5-25.6%. According to the SF-36 and EuroQ-5D-5L questionnaires, physical and psychological health components significantly increased within a month after surgical treatment. According to the SGRQ questionnaire, influence of disease on overall status decreased a month after surgery as evidences by lower total score ( p <0.05)., Conclusion: Objective and survey data revealed significant improvement in quality of life after surgery. A trend towards higher quality of life was demonstrated by all questionnaires in a month after surgery.
- Published
- 2024
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