Quality of life changes in acute coronary syndromes patients: a systematic review and meta-analysis

Billingsley Kaambwa, Hailay Abrha Gesesew, Matthew Horsfall, Derek Chew

Research output: Contribution to journalReview article

Abstract

There is little up-to-date evidence about changes in quality of life following treatment for acute coronary syndrome (ACS) patients. The main aim of this review was to assess the changes in QoL in ACS patients after treatment. We undertook a systematic review and meta-analysis of quantitative studies. The search included studies that described the change of QoL of ACS patients after receiving treatment options such as percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG) and medical therapy (MT). We synthesized findings using content analysis and pooled the estimates using meta-analysis. We used the PRISMA guidelines to select and appraise the studies and report the findings. Twenty-nine (29) articles were included in the review. We found a significant improvement of QoL in ACS patients after receiving treatment. Particularly, the meta-analytic association found that the mean QoL of patients diagnosed with ACS was higher after receiving treatment compared to baseline (overall pooled mean difference = 31.88; 95% CI = 31.64–52.11, I2 = 98) with patients on PCI having slightly lower QoL gains (pooled mean difference = 30.22; 95% CI = 29.9–30.53, I2 = 0%) compared to those on CABG (pooled mean difference = 34.01; 95% CI = 33.66–34.37, I2 = 0%). The review confirmed that QoL of ACS patients improved after receiving treatment therapies although varied by the treatment options and patients’ preferences. This suggests the need to perform further study on the QoL, patient preferences and physicians’ decision to prescription of treatment options.

Original languageEnglish
Article number6889
Pages (from-to)1-28
Number of pages28
JournalInternational journal of environmental research and public health
Volume17
Issue number18
DOIs
Publication statusPublished - 2 Sep 2020
Externally publishedYes

Keywords

  • Acute coronary syndrome
  • Coronary artery bypass grafting
  • Percutaneous coronary intervention
  • Physician therapy
  • Quality of life
  • Systematic review

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this