Examining health-related quality of life in ambulatory adult patients with chronic heart failure: insights from Malaysia using EQ-5D-5L

Tan, Yi Jing; Ong, Siew Chin; Yong, Vee Sim; Khor, Wei Wern; Pang, Lie Jin; Choong, Yong Ying; Zameram, Ainul Mardhiyyah; Tan, Lin Yuing; Voo, James Yau Hon; Lam, Kar Kei; Yen, Chia How; Wahab, Mohamed Jahangir Abdul; Abdulla, Zarina Banu

doi:10.1007/s11136-024-03674-4

Qual Life Res

2024

DOI: 10.1007/s11136-024-03674-4

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Examining health-related quality of life in ambulatory adult patients with chronic heart failure: insights from Malaysia using EQ-5D-5L

Yi Jing Tan,

Siew Chin Ong,

Vee Sim Yong

et al.

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Trajectory of health-related quality of life during and after hospitalisation due to worsening of heart failure

Kuan,

Lim,

Chee

et al. 2024

Qual Life Res

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Purpose This study aimed to examine the trajectory in health-related quality of life (HRQoL) during and after hospitalisation for worsening of heart failure (HF) in Malaysia. Methods 200 patients with heart failure and reduced ejection fraction (HFrEF) admitted into two hospitals in Malaysia due to worsening of HF were surveyed using the EQ-5D-5 L questionnaire. The primary outcomes were utility values at admission, discharge and 1-month post-discharge (1MPD). Secondary outcomes included the visual analogue scores (VAS) and the proportion of patients reporting each EQ-5D-5 L dimension levels. Missing data were imputed using multiple imputation, and generalised linear mixed models were fitted. Results At admission, the unadjusted mean utility values and VAS scores for HFrEF patients in Malaysia were as low as 0.150 ± 0.393 and 38.2 ± 20.8, respectively. After a median hospital stay of 4 days, there was a significant improvement in utility values and VAS scores by 0.510 (95% CI: 0.455–0.564) and 28.8 (95% CI: 25.5–32.1), respectively. The utility value and VAS score at 1-month post-discharge were not significantly different from discharge. The proportion of HFrEF patients reporting problems and severe problems in mobility, self-care, usual activities, and anxiety/depression, pain/discomfort reduced at varying degree from admission to discharge and 1MPD. Conclusion HF is a progressive condition with substantial variation in HRQoL during the disease trajectory. During hospitalisation due to worsening of HF, HFrEF population has unfavourable HRQoL. Rapid and significant HRQoL improvement was observed at discharge, which sustained over one month. The study findings can inform future cost-effectiveness analyses and policies.

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Trajectory of health-related quality of life during and after hospitalisation due to worsening of heart failure

Kuan,

Lim,

Chee

et al. 2024

Qual Life Res

View full text Add to dashboard Cite

show abstract

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Examining health-related quality of life in ambulatory adult patients with chronic heart failure: insights from Malaysia using EQ-5D-5L

Cited by 1 publication

References 63 publications

Trajectory of health-related quality of life during and after hospitalisation due to worsening of heart failure

Trajectory of health-related quality of life during and after hospitalisation due to worsening of heart failure

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