The Effect of Oral Sildenal Therapy on HealthRelated Quality of Life in Adults with Pulmonary Arterial Hypertension related to Uncorrected Secundum Atrial Septal Defect: A Quasi Experimental Study
Penulis/Author
dr. Fera Hidayati, Sp.JP. (1); Dr. Med. dr. Putrika Prastuti Ratna Gharini, Sp.JP(K) (2); dr. Anggoro Budi Hartopo, Sp.PD., M.Sc., Sp.JP., Ph.D (3); dr. Dyah Wulan Anggrahini, Ph.D., Sp.JP. (4); Prof. Dr. dr. Lucia Kris Dinarti, Sp.PD., Sp.JP(K). (5)
Tanggal/Date
14 2020
Kata Kunci/Keyword
Abstrak/Abstract
Background: Assessment of health-related quality of life (HRQoL) are often measured as an important
patient-reported outcome (PRO) in clinical studies. Pulmonary arterial hypertension (PAH) is a common
complication of atrial septal defect (ASD). This study aimed to compare the HRQoL of PAH related
uncorrected secundum ASD at pre and post therapy with oral sildenal therapy.
Methods: We conducted quasi experimental study at Sardjito General Hospital Yogyakarta since April
2016 to August 2017. Adults with PAH related uncorrected secundum ASD, listed on Congenital Heart
Disease and Pulmonary Hypertension (COHARD-PH) registry, and met the inclusion and exclusion criteria
were recruited as subject. Interview was done at pre and 12 weeks post oral sildenal therapy 3 x 20 mg
using the EQ-5D-3L questionnaire. Statistical analysis was done using Wilcoxon test and paired T-test to
determine the differences of EQ5D utility and EQVAS score at pre and post therapy.
Results: A total of 18 adult patients with PAH related to uncorrected secundum ASD were enrolled in this
study (83.33?male; mean age 38.72 ± 10.81 years old). The most frequent reported problems pre
therapy were pain/discomfort (83%) and anxiety/depression (78%). Wilcoxon test showed the median of
EQ5D utility score were increased after sildenal therapy (before= 0.604, after=0.664; Z= -2,703; p:0.007),
respectively. Meanwhile, the paired T-test results showed an increase of EQ-VAS mean difference
6.67±8.75 (p:0.005; 95% CI 2.32-11.02) after sildenal therapy.
Conclusion: The administration of oral sildenal therapy 3 x 20 mg during 12 weeks in adult patients with
PAH related uncorrected secundum ASD gives better HRQoL.
Rumpun Ilmu
Bidang Kedokteran Spesialis Lain Yang Tercantum
Bahasa Asli/Original Language
English
Level
Internasional
Status
Dokumen Karya
No
Judul
Tipe Dokumen
Aksi
1
jurnal dr Fera PAK.pdf
[PAK] Full Dokumen
2
Hasil cek similarity - The Effect of Oral Sildenafil.pdf
[PAK] Cek Similarity
3
Universitas Gadjah Mada Mail - Fwd_ Decision has been reached on your submission to Health and Quality of Life Outcomes - HQLO-D-20-00038R2.pdf