Health‐related quality of life of patients with severe heart failure. A cross‐sectional multicentre study

Fotos, Nikolaos V.; Giakoumidakis, Konstantinos; Kollia, Zoi; Galanis, Petros; Copanitsanou, Panagiota; Pananoudaki, Evangelia; Brokalaki, Hero

doi:10.1111/j.1471-6712.2012.01078.x

Cited by 33 publications

(52 citation statements)

References 41 publications

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“…Prevalence CHSS v populaci se pohybuje okolo 1-2 %, roční incidence kolem 0,4 % (4, 5). V Evropě je diagnostikováno CHSS přibližně u 6,5 milionů jedinců (6). Prognóza je i přes vysoce specializované a kvalitní možnosti léčby nepříznivá a přibližně polovina pacientů umírá do čtyř let od stanovení diagnózy a polovina pacientů s těžkou formou onemocnění zemře do jednoho roku (2, 7).…”

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Depression and quality of life in patients with chronic heart failure

Vévodová¹,

Andrlová²,

Vévoda³

2017

Profese on-line

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Background: Chronic heart failure is labelled as an epidemic of the 21st century with serious consequences dramatically reducing life expectancy with a negative impact on quality of life. Impaired quality of life in patients with chronic heart failure is linked to depression which is diagnosed in as many as 36.5% of the patients. Aim: The aim of the research was to determine the level of quality of life and depression and their relatedness in patients with chronic heart failure and to compare the observed variables with a control group. Methods: The research was carried out at cardiologic departments of three hospitals in the Czech Republic between October 2015 and April 2016. The research sample included patients admitted to hospital for chronic cardiac failure. The research survey used two standardized questionnaires: quality of life questionnaire WHOQOL-BREF questionnaire depression and BDI-II. Results:The results of the survey show that there is a significant difference in quality of life between the examined population and the control group. The results also suggest that there is a statistically significant difference in the rate of depression among the examined population and the control group. It can be concluded that there is a significantly negative relationship between overall quality of life and depression in patients with a chronic heart failure. Conclusions: Early diagnosis and depression management could lead to overall better quality of life of these patients as well as to decrease in the number of hospitalizations.KLÍČOVÁ SLOVA chronické srdeční selhání, kvalita života, deprese, WHOQOL-BREF, BDI-II KEY WORDS chronic heart failure, quality of life, depression,

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Section: úVodunclassified

Depression and quality of life in patients with chronic heart failure

Vévodová¹,

Andrlová²,

Vévoda³

2017

Profese on-line

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“…Os pacientes em classes funcionais mais elevadas apresentam pior QVRS (Naveiro-Rilo et al, 2014;Erceg et al, 2013), possivelmente em razão dos efeitos da redução da capacidade funcional (Fotos et al, 2013). Quanto à fração de ejeção ventricular esquerda, alguns estudos não revelam associação com a QVRS (Naveiro-Rilo et al, 2014;Erceg et al, 2013).…”

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“…Múltiplas comorbidades, assim como a complexidade do tratamento, com uso de polifarmácia, também têm sido associadas a pior QVRS nos indivíduos com IC (Naveiro-Rilo et al, 2014;Erceg et al, 2013;Fotos et al, 2013).…”

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“…A redução da capacidade para o autocuidado de pacientes com IC está associada ao aumento da morbidade e mortalidade, possivelmente relacionado com os problemas de tomadas de decisões e de adesão ao tratamento (Dickson et al, 2007). Estudos anteriores demostraram associação entre inadequado autocuidado com piores escores de QVRS e que pacientes que participam de programa de autogestão, e que estão ativamente envolvidos com o autocuidado, apresentam menos internações e melhor QVRS (McAlister et al, 2004;Jovicic et al, 2006;Lainscak et al, 2011 (Rector et al, 1995 (dp = 18,9) a 62,7 (dp = 20,3) (Fotos et al, 2013;Comín-Colet et al, 2013;Chung et al, 2013;Gastelurrutia et al, 2013; …”

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“…A presença de múltiplas comorbidades, como HAS e diabetes, comuns entre os pacientes com IC, certamente contribuiu para esse resultado que é semelhante ao de outros estudos (Fotos et al, 2013;.…”

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Preditores da qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca

Conceição¹

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WBC count predicts heart failure in diabetes and coronary artery disease patients: a retrospective cohort study

et al. 2021

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Aims White blood cell (WBC) count in healthy people is associated with the risk of coronary artery disease (CAD) and mortality. This study aimed to determine whether WBC count predicts heart failure (HF) requiring hospitalization as well as all-cause death, acute myocardial infarction (AMI) and stroke in patients with Type 2 diabetes mellitus and established CAD. Methods We conducted this retrospective registry study that enrolled consecutive patients with Type 2 diabetes mellitus and CAD based on coronary arteriography records and medical charts at 70 teaching hospitals in Japan from 2005 to 2015. A total of 7608 participants (28.2% women, mean age 68 ± 10 years) were eligible. In the cohort, the median (interquartile range) and mean follow-up durations were 39 (16.5-66.1 months) and 44.3 ± 32.7 months, respectively. The primary outcome was HF requiring hospitalization. The secondary outcomes were AMI, stroke, all-cause death, 3-point major adverse cardiovascular events (MACE) (AMI/stroke/death) and 4-point MACE (AMI/stroke/death/HF requiring hospitalization). Outcomes were reported as cumulative incidences (proportion of patients experiencing an event) and incidence rates (events/100 personyears). The primary and secondary outcomes were assessed using the Kaplan-Meier method and were compared using the log-rank test stratified by the baseline WBC count. The association between the WBC count at baseline and each MACE was assessed using the Cox proportional hazard model and expressed as the hazard ratio (HR) and 95% confidence interval (CI) after adjusting for other well-known risk factors for MACE. Results During the follow-up, 880 patients were hospitalized owing to HF. The WBC Quartile 4 (≥7700 cells/μL) had significantly lower HF event-free survival rate (log-rank test, P < 0.001). The HRs for HF events requiring hospitalization with each WBC quartile compared with the lowest in the first WBC quartile were 1 for Quartile 1 (WBC < 5300 cells/μL), 1.20 (95% CI, 0.96-1.5; P = 0.1) for Quartile 2 (5300 ≤ WBC < 6400), 1.34 (95% CI, 1.08-1.67; P = 0.009) for Quartile 3 (6400 ≤ WBC < 7700) and 1.62 (95% CI, 1.31-2.00; P < 0.001) for Quartile 4 after adjusting for covariates. Similar findings were observed for the risk of AMI and death; however, no significant difference was found for stroke. WBC Quartile 4 patients had a significantly lower 3-or 4-point MACE-free survival rate (log-rank test, P < 0.0001). Conclusions A higher WBC count is a predictor of hospitalization for HF, all-cause death and AMI but not for stroke in patients with concurrent Type 2 diabetes mellitus and established CAD.

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Health‐related quality of life of patients with severe heart failure. A cross‐sectional multicentre study

Cited by 33 publications

References 41 publications

Depression and quality of life in patients with chronic heart failure

Depression and quality of life in patients with chronic heart failure

Preditores da qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca

WBC count predicts heart failure in diabetes and coronary artery disease patients: a retrospective cohort study

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