Patient-Centered Outcomes and Quality of Life after Primary vs. Bailout ADR: A Longitudinal Observational Study

Abstract Objective: To compare patient-centred outcomes and quality of life after undergoing Primary ADR versus Bailout ADR procedures, focusing on the clinical recovery, complications, and patient satisfaction. Methodology: A total of 200 patients (100 in each group) who underwent Primary ADR or Bailout ADR at the Department of Cardiology, Hayatabad Medical Complex, Peshawar, between June 2023 to June 2024 were included. Data were collected on age, gender, hospital stay, complications, and quality of life. Statistical analysis was performed using the t-test, with a significance level set at p < 0.05. Results: The Primary ADR group had a mean age of 55.3 ± 8.2 years, while the Bailout ADR group had a mean age of 57.2 ± 7.5 years (p = 0.25). Primary ADR patients had a shorter hospital stay (5.6 ± 1.2 days) compared to Bailout ADR patients (8.4 ± 1.5 days, p < 0.001). Complications such as renal impairment (15% vs 23%) and stroke (10% vs 22%) were more common in the Bailout ADR group. Quality of life was also better in the Primary ADR group, with 35% reporting good QoL compared to 25% in the Bailout ADR group. Conclusion: Primary ADR was associated with shorter hospital stays, fewer complications, and better quality of life compared to Bailout ADR. These findings suggest that Primary ADR is the preferred intervention for better patient outcomes in coronary artery disease management.