Exploring quality of life in patients with and without heart failure

Zhang, Jufen; Hobkirk, James; Carroll, Sean; Pellicori, Pierpaolo; Clark, Andrew L.; Cleland, John G.F.

doi:10.1016/j.ijcard.2015.09.076

Cited by 26 publications

(35 citation statements)

References 14 publications

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“…This study set out to explore the feasibility of implementing validated HR-QoL instruments in the routine heart failure clinic setting. 20,21 Besides NYHA class, our results demonstrated no biological factors that correlated with HR-QoL scores. The questionnaires were self-administered in the clinic waiting area prior to the medical consultation, for time efficiency and to reduce potential bias of opinion generated by interaction with clinical staff.…”

Section: Discussionmentioning

confidence: 51%

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Assessing health‐related quality of life in heart failure patients attending an outpatient clinic: a pragmatic approach

2018

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AimsImproving quality of life (QoL) in heart failure patients is a key management objective. Validated health‐related QoL (HR‐QoL) measurement tools have been incorporated into clinical trials but not routinely into daily practice. The aims of this study were to investigate the acceptability and feasibility of implementing validated HR‐QoL instruments into heart failure clinics and to examine the impact of patient characteristics on HR‐QoL.Methods and resultsOne hundred and sixty‐three patients attending heart failure clinics at a UK tertiary centre were invited to complete three HR‐QoL assessments: the Minnesota Living with Heart Failure Questionnaire (MLHFQ); the EuroQoL 5D‐3L (EQ‐5D‐3L); and the Kansas City Cardiomyopathy Questionnaire (KCCQ) in that order. Data on patient demographics, co‐morbidities, New York Heart Association (NYHA) class, plasma B‐type natriuretic peptide (BNP), renal function, and left ventricular ejection fraction were recorded. 94% of patients attending clinic were willing to participate. The EQ‐5D‐3L had all questions answered by 92% of patients, compared with 86% and 51% for the MLHFQ and KCCQ, respectively. HR‐QoL significantly correlated with NYHA class using each tool (MLHFQ, r = 0.59; KCCQ, r = −0.61; EQ‐5D‐3L, r = −0.44, all P < 0.01). However, within each NYHA class, there was a widespread of HR‐QoL scores. There was no association between patient demographics, left ventricular ejection fraction, plasma B‐type natriuretic peptide, or renal function with HR‐QoL using any tool.ConclusionsHealth‐related QoL assessment by validated questionnaire was acceptable to patients and feasible to perform in routine practice. Although NYHA class correlated significantly with HR‐QoL scores, there was high variability in HR‐QoL within each NYHA class, highlighting its limitation as the sole assessment of HR‐QoL. Clinicians should encourage the assessment of HR‐QoL to facilitate patient‐centred care and make more specific use of HR‐QoL measurement tools.

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Section: Discussionmentioning

confidence: 51%

“…19 Additionally, the validation of single-item questions on selfreported health has been performed. 20,21 Besides NYHA class, our results demonstrated no biological factors that correlated with HR-QoL scores. As previously reported, left ventricular ejection fraction was not a predictor of HR-QoL.…”

Section: Discussionmentioning

confidence: 51%

Assessing health‐related quality of life in heart failure patients attending an outpatient clinic: a pragmatic approach

2018

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“…Any depressive condition presented in HF patients alters their perception of QoL and affects the health status which, in turn, may negatively impact the patient’s self-care. Zhang et al showed that psychological distress, including stress, anxiety and depression, accounted for 13% of the variability of the overall QoL total score (the second of seven clusters of importance) [53].…”

Section: Discussionmentioning

confidence: 99%

The Role of Depression and Anxiety in Frail Patients with Heart Failure

Hiriscau

Bodolea

2019

Diseases

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An increased interest regarding the impact of frailty on the prognosis of cardiovascular disease (CVD) has been observed in the last decade. Frailty is a syndrome characterized by a reduced biological reserve that increases the vulnerability of an individual in relation to stressors. Among the patients with CVD, a higher incidence of frailty has been reported in those with heart failure (HF). Regardless of its conceptualizations, frailty is generally associated with negative outcomes in HF and an increased risk of mortality. Psychological factors, such as depression and anxiety, increase the risk of negative outcomes on the cardiac function and mortality. Depression and anxiety are found to be common factors impacting the heart disease and quality of life (QoL) in patients with HF. Depression is considered an independent risk factor of cardiac-related incidents and death, and a strong predictor of rehospitalization. Anxiety seems to be an adequate predictor only in conjunction with depression. The relationship between psychological factors (depression and anxiety) and frailty in HF has hardly been documented. The aim of this paper is to review the reported data from relevant studies regarding the impact of depression and anxiety, and their effects on clinical outcomes and prognosis in frail patients with HF.

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“…or assessing well-being ("On a scale of 1-10 how well are you today? "); single questions are easy to administer and may be more efficient, although they may need to be interpreted in the context of the patients situation (for example, recent near-death experience, worsening heart failure or stable CHF) 17 . Indeed,…”

Section: Discussionmentioning

confidence: 99%

Depression as an independent prognostic factor for all-cause mortality after a hospital admission for worsening heart failure

Sokoreli

Vries

Riistama

et al. 2016

International Journal of Cardiology

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Sokoreli, I. et al. (2016) Depression as an independent prognostic factor for all-cause mortality after a hospital admission for worsening heart failure. International Journal of Cardiology, 220, pp. 202-207. (doi:10.1016Cardiology, 220, pp. 202-207. (doi:10. /j.ijcard.2016 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/129512/ This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT1 Depression as an independent prognostic factor for all-cause mortality after a hospital admission for worsening heart failure I. Sokoreli 1,2, , J.J.G. E-mail address: ioanna.sokoreli@philips.com (I. Sokoreli). A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 2 AbstractBackground: Depression is associated with increased mortality among patients with chronic

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Exploring quality of life in patients with and without heart failure

Cited by 26 publications

References 14 publications

Assessing health‐related quality of life in heart failure patients attending an outpatient clinic: a pragmatic approach

Assessing health‐related quality of life in heart failure patients attending an outpatient clinic: a pragmatic approach

The Role of Depression and Anxiety in Frail Patients with Heart Failure

Depression as an independent prognostic factor for all-cause mortality after a hospital admission for worsening heart failure

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