Aim: to evaluate improvement and predictors of improvement in patients' perceived health status after cardiac surgery in older patients.

Aim: to evaluate improvement and predictors of improvement in patients' perceived health status after cardiac surgery in older patients. Methods: three hundr and seventy-seven patients from three different departments of cardiac surgery complet the Nottingham Health Profile questionnaire before and 1 and 2 years after open-heart surgery We analysed pre- and postoperative data and pre- and postoperative Nottingham Health Profile scores. Results: the mean age was 74 +/- 3 years. The comparison between pre- and postoperative scores showed an improvement in all unless the social isolation section. Logistic regression showed that the predictors of patients who became worse after surgery were (i) in the bottom section: age over 75 [odd ratio (OR) = 18 95% confidence interval (CI)= 102-32] coronary artery disease (OR = 24 95% CI = 104-36) and postoperative adventures (OR = 1.9, 95% CI = 101-37); (ii) in the physical mobility section: diabetes mellitus (OR = 24 95% CI = 1247); and (iii in the social isolation section: physical mobility impairment (OR = 34 95% CI = 13-87) Conclusions: cardiac surgery improves perceived health status in patients from one side of to the other 70. This improvement is better for those undergoing aortic valve replacement than for those undergoing coronary artery bypass surgery Comparison with respect scores for a standard population indicates that, even when successful, cardiac surgery springs in fatigue and persistent be still disturbance in older patients.

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