Baseline Quality of Life as a Predictor of Mortality and Hospitalization in 5,025 Patients With Congestive Heart Failure

Konstam, Varda; Salem, Deeb N.; Pouleur, H.; Kostis, John B.; Gorkin, Larry; Shumaker, Sally A.; Mottard, Isabelle; Woods, Pat; Konstam, Marvin A.; Yusuf, Salim

doi:10.1016/s0002-9149(96)00463-8

Cited by 318 publications

(241 citation statements)

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“…Even in these studies there has been little evidence of anxiety as a useful predictor of outcome. 16,17 It is unclear why level of anxiety is not related to number of readmissions and length of stay. One possibility may be the suggestion that certain aspects of anxiety, namely phobic anxiety and panic disorder that may not be detected effectively by the STAI, are responsible for a significant relationship between anxiety and health or health outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Anger and depression predict hospital use among chronic heart failure patients

Jenner

Strodl²,

Schweitzer³

2009

Aust. Health Review

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Costly hospital readmissions among chronic heart failure (CHF) patients are expected to increase dramatically with the ageing population. This study investigated the prognostic ability of depression, anger and anxiety, prospectively, and after adjusting for illness severity, on the number of readmissions to hospital and the total length of stay over one year. Participants comprised 175 inpatients with CHF. Depression, anger, anxiety, and illness severity were measured at baseline. One year later, the number of readmissions and length of stay for each patient were obtained from medical records. Depression and anger play a detrimental role in the health profile of CHF patients.

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Section: Discussionmentioning

confidence: 99%

“…16,17 Research to date has not shown a relationship between anxiety and hospital use, however it is important to include this variable to better understand whether depression is a unique predictor or whether there is a spectrum of negative affect which is associated with hospital readmissions.…”

Section: What Are the Implications For Practitioners?mentioning

confidence: 99%

Anger and depression predict hospital use among chronic heart failure patients

Jenner

Strodl²,

Schweitzer³

2009

Aust. Health Review

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“…7 Predictive genetic testing of asymptomatic individuals at risk for disease can elicit a number of psychosocial responses, and understanding these has been an important research focus. [8][9][10] Fear and concern that predictive genetic testing will have a negative impact on psychological state is largely unfounded based on studies carried out in cancer and neurologic genetic diseases.…”

Section: Introductionmentioning

confidence: 99%

Genetic testing for inherited heart diseases: longitudinal impact on health-related quality of life

Ingles

Yeates

O’Brien

et al. 2012

Genetics in Medicine

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Purpose: A genetic diagnosis is an extremely useful tool in the management and care of families with inherited heart diseases, particularly in allowing clarification of risk status of asymptomatic family members. The psychosocial consequences of genetic testing in this group are poorly understood. This longitudinal pilot study sought to determine changes in health-related quality of life in patients and asymptomatic family members undergoing genetic testing for inherited heart diseases.methods: Individuals attending two specialized multidisciplinary cardiac genetic clinics in Australia were invited to participate. Patients undergoing proband or predictive genetic testing for an inherited cardiomyopathy or primary arrhythmogenic disorder were eligible. The Medical Outcomes Short Form-36 (version 2) was administered before the genetic result was given, and follow-up surveys were completed 1-3, 6, and 12 months after the result was given.Results: A total of 54 individuals with hypertrophic cardiomyopathy, familial dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, and long QT syndrome completed baseline and at least one follow-up survey, including 33 probands and 21 asymptomatic relatives. Physical and mental component scores analyzed at baseline and 1-3 months were found to be unchanged in all groups. Furthermore, no significant differences were observed up to 12 months after result. conclusion:In this longitudinal pilot study, no change in healthrelated quality of life was observed up to 12 months after the result was given in patients and their asymptomatic family members undergoing genetic testing for an inherited heart disease. Genet Med

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“…[1][2][3][4] Persons with HF experience psychologic distress, decreased cognitive function, reduced social functioning, and recurring troublesome symptoms that lead to diminished quality of life. Normalization is an important defense for these patients [5][6] ; therefore, effective treatment strategies are likely to be those that improve health perceptions, 7 support psychosocial adjustment to illness, 8 and maintain and stabilize the patient's limited functional abilities. 9 Pender 10 underscores the importance of establishing measures of health based on the participant's point of view that are consistent with contemporary models of health and seek to include the participant's input in assessing health.…”

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confidence: 99%

“…They reflect the person's value systems, beliefs, and perspectives. 9 Incongruence between perceived and actual health is important in that it is the rating of perceived health status that has been shown to correlate strongly with the risk of morbidity and mortality among patients with HF 7,9 and other patient populations. [11][12][13] Several researchers have previously studied health perceptions 6,14 and psychosocial adjustment to illness in patients with HF.…”

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confidence: 99%