Comparision of functional capacty and quality of life in patients with minimal invasive cardiac surgery and open hearth surgery

This study was planned to compare the quality of life and functional capacity of patients who underwent minimal cardiac surgery and open heart surgery. The study was performed between June 2020 to January 2021 at cardiovascular surgery department minimally invasive cardiac surgery (30 cases) and open heart surgery undergoing (34 cases), 64 volunteer patients in total were included at average age of 55 years. Pain Intensity was assesed with Visual Analogue Scale (VAS). Quality of life was assesed with MacNew heart disease health-related quality of life scale. Functional capacity was assesed with 6 Minute Walk Test (6MWT). Sleep quality was assesed with Pittsburgh Sleep Quality Index (PSQI). Handgrip Strength was assesed with Hand dynamometer. IBM SPSS Statistics 24.0 package program was used for statistical analysis of the data. As a result of the statistical analysis; the number of male patients was higher in the minimally invasive surgery group (p<0,05). In the minimally invasive surgery group; the duration of intubation and length of stay in the intensive care unit were significantly lower than in the open heart surgery group (p<0,05), and the pump time was significantly higher (p<0,05). VAS were similar between to two groups. MacNew questionnaire physical sub score was significantly higher in the minimally invasive cardiac surgery group (p<0,05); the scores of other dimensions of the questionnaire were similar in the two surgical groups (p>0,05). The 6MWT distance was similar in both groups (p>0,05). Before and after 6MWT, oxygen saturation, systolic blood pressure and heart rate were significantly higher in the open heart surgery group than in the minimally invasive cardiac surgery group (p<0,05). The dominant and non-dominant hand grip strength was significantly higher in the minimally invasive cardiac surgery group than in the open heart surgery group (p<0,05). While PSQI subjective sleep quality was significantly higher in the open heart surgery group than in the minimally invasive group (p<0,05). The groups were similar in terms of other sub-parameters of PSQI (p>0,05). Although minimally invasive cardiac surgery has a long cardiopulmonary pump time, it can be performed safely and successfully, like conventional cardiac surgery, with the advantages of earlier extubation time and shorter intensive care unit stay. Our study will guide further studies as the first study to compare minimally invasive cardiac surgery and open heart surgery in terms of quality of life and functional capacity.