Functional status one year after heart transplant.
OBJECTIVE
Although heart transplantation (HT) increases survival of heart failure patients, many patients still experience problems afterward that affect functioning.


OBJECTIVE
(1) to compare the functional status of HT patients before transplant versus 1 year after transplant, (2) to identify functional problems 1 year post-transplant, and (3) to identify which variables predicted worse functional status 1 year later.


METHODS
The sample was 237 adult HT recipients who completed the 1-year post-transplant study booklet. Functional ability was assessed by the Sickness Impact Profile. Paired t tests compared Sickness Impact Profile scores before and after transplant. Medical and demographic data plus patient questionnaire data on Sickness Impact Profile, symptoms, stressors, and compliance were used in the regression.


RESULTS
Sickness Impact Profile functional scores improved significantly from pre-transplant (23.0%) to post-transplant (13.4%); however, many HT recipients still reported problems in 12 functional areas 1 year after surgery. Major problem areas were the following: work (90% of patients), eating (due to dietary restrictions, 87%), social interaction (70%), recreation (63%), home management (62%), and ambulation (54%). Only 26% were working 1 year after transplant; 59% of those working reported health-related problems performing their job. Predictors of worse functional status were greater symptom distress, more stressors, more neurologic problems, depression, female sex, older age, and lower left ventricular ejection fraction (worse cardiac function).


CONCLUSIONS
Many HT recipients were still having functional problems and had not reached their full rehabilitation potential by the 1-year anniversary after transplant.
Jalowiec
Anne
A
Loyola University, Chicago, Il, USA. ajalowiec@yahoo.com
Grady
Kathleen L
KL
White-Williams
Connie
C
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000407:Alabama; D002641:Chicago; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000503:physiopathology* / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011237:Predictive Value of Tests; D011788:Quality of Life; D012044:Regression Analysis; D012107:Research Design; D012307:Risk Factors; D018434:Sickness Impact Profile; D013318:Stroke Volume; D011795:Surveys and Questionnaires; D016896:Treatment Outcome