Patient-related outcomes five years after coronary artery bypass graft surgery

For five years, we prospectively studied 353 consecutive patients undergoin g first-time coronary artery bypass graft surgery (CABG) for stable angina in the North of England. Angina was present before surgery in nearly all pa tients, in 20% 3 months after surgery, and in 48% after 60 months. The Nott ingham Health Profile, showed a significant improvement in perceived health status (PHS) 12 and 60 months after surgery compared with preoperation. Ho wever, PHS at 60 months was worse than at 12 months in the dimensions 'pain ' and 'physical mobility' in part 1, and in 'looking after the home' and 't aking holidays' in part 2. Employment rates were 36%, 34% and 21%, before, and 12 and 60 months after surgery, respectively. Working at 12 and 60 mont hs was associated with age below retirement age, work preoperation and abse nce of angina, and at 12 months also with male gender and waiting time <6 m onths. This study describes everyday clinical practice. The significant imp rovement in angina symptoms and PHS after CABG persists for at least 5 year s. However, only one third of patients in this geographical area return to work, and this is not solely dependent on clinical symptoms.