Gender and age differences in symptom distress and functional disability one year after heart transplant surgery

Anne Jalowiec*, Kathleen L. Grady, Connie White-Williams

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective: Symptoms and functional status are major concerns for heart transplant (HT) recipients. The study objective was to examine gender and age differences in symptom distress and functional disability 1 year after HT surgery. Methods: The sample (N = 237) consisted of 44 female and 193 male patients who were divided into younger (n = 66) and older (n = 171) groups with the breakpoint at age 50 years. Data from chart review and 2 questionnaires (Heart Transplant Symptom Checklist and Sickness Impact Profile) were analyzed with chi-square test, t tests, analysis of variance, and multivariate analysis of variance. Results: Women reported worse symptom distress (overall, plus cardiovascular, gastrointestinal, dermatologic symptoms) and more functional disability (overall, plus disability in ambulation, mobility, self-care, home management). Older patients reported more disability in ambulation and work. Gender by age interactions showed that older men reported worse genitourinary symptoms and younger women reported worse dermatologic symptoms. Conclusion: There were more gender than age differences in symptoms and disability.

Original languageEnglish (US)
Pages (from-to)21-30
Number of pages10
JournalHeart and Lung: Journal of Acute and Critical Care
Volume40
Issue number1
DOIs
StatePublished - Jan 2011

Keywords

  • Disability
  • Gender and age differences
  • Heart transplant patients
  • Symptoms

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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