Patient-Reported Quality of Life as a Predictor of Mortality and Ventricular Tachyarrhythmia's During 7 Years’ Follow-Up in Patients With an Implantable Cardioverter Defibrillator (from the MIDAS Study)

Veen, B. Van Der; Andersen, Christina Maar; Johansen, Jens Brock; Theuns, Dominic; Pedersen, Susanne S.

doi:10.1016/j.amjcard.2018.11.021

Cited by 10 publications

(13 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…35 Taken together, there is an urgent need to further explore the challenges that patients experience with an S-ICD as compared to patients with a TV-ICD, whether these challenges are different, and how we can best help patients manage these challenges, in particular due to evidence that anxiety, depression, and poor QoL are associated with adverse prognosis at least in patients with a TV-ICD. 20,36,37 The current study has some limitations. The S-ICD patients were recruited internationally across multiple centers, while the TV-ICD patients from the MIDAS cohort were recruited from a single center and during the course of 7 years as compared to 3 years for the EFFORTLESS S-ICD patients.…”

Section: Discussionmentioning

confidence: 91%

Quality of life, depression, and anxiety in patients with a subcutaneous versus transvenous defibrillator system

Pedersen

Carter

Barr

et al. 2019

Pacing Clinical Electrophis

Self Cite

View full text Add to dashboard Cite

Background Use of the subcutaneous implantable defibrillator (S‐ICD) has increased because the device received US Food and Drug Administration approval in 2012, but we still know little about whether the quality of life (QoL) of patients with an S‐ICD versus a transvenous ICD (TV‐ICD) is comparable. We compared S‐ICD patients with TV‐ICD patients on QoL, depression, and anxiety up to 12 months’ follow‐up. Methods A matched cohort of S‐ICD (N = 167) and TV‐ICD patients (N = 167) completed measures on QoL, depression, anxiety, and personality at baseline, 3, 6, and 12 months post implant. Data were analyzed using multivariable modeling with repeated measures. Results In adjusted analyses, we found no statistically significant differences between cohorts on physical and mental QoL and depression (all Ps > .05), while S‐ICD patients reported lower anxiety than TV‐ICD patients (P = 0.0007). Both cohorts experienced improvements in physical and mental QoL and symptoms of depression and anxiety over time (all Ps < .001), primarily between implant and 3 months. These improvements were similar for both cohorts with respect to physical and mental QoL and anxiety (Ps > .05), while S‐ICD patients experienced greater reductions in depressive symptoms (P = .0317). Conclusion The QoL and depression levels were similar in patients with an S‐ICD and a TV‐ICD up to 12 months’ follow‐up, while S‐ICD patients reported lower anxiety levels and a greater reduction in depression over time as compared to TV‐ICD patients. This knowledge may be important for patients and clinicians, if the indication for implantation allows both the S‐ICD and the TV‐ICD, making a choice possible.

show abstract

Section: Discussionmentioning

confidence: 91%

Quality of life, depression, and anxiety in patients with a subcutaneous versus transvenous defibrillator system

Pedersen

Carter

Barr

et al. 2019

Pacing Clinical Electrophis

Self Cite

View full text Add to dashboard Cite

show abstract

“…8 Finally, among patients with ventricular arrhythmias, the most life-threatening arrhythmia, poor QoL is known to predict mortality. 9, 10…”

Section: Introductionmentioning

confidence: 99%

Patient-reported outcomes at hospital discharge among patients with arrhythmia: Results from the national DenHeart survey

Thrysoee

Thorup

Rasmussen

et al. 2019

European Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

Background: Patient-reported outcomes are important predictors of mortality, cardiovascular events and hospitalisation in patients with cardiac diseases, but differences in patient-reported outcomes between groups of patients with arrhythmia have not yet been investigated. Aims: To describe and compare patient-reported outcomes at discharge among patients with different types of cardiac arrhythmia and to examine the associations between demographic characteristics, inhospital factors and patient-reported outcomes. Methods: Data were derived from the national DenHeart study including patient-reported outcomes from the following questionnaires: the hospital anxiety and depression scale (HADS), HeartQoL, short form 12 (SF-12), current health status (EQ-5D), brief illness perception questionnaire (B-IPQ) and the Edmonton symptom assessment scale (ESAS). Clinical and demographic data were obtained from national registers. Multiple linear and logistic regression models were used to investigate the associations between the potential risk factors and the patient-reported outcomes. Results: A total of 4251 patients diagnosed with arrhythmia completed the questionnaire. Across the arrhythmia subgroups, some differences were observed. In general, patient-reported outcome scores were worst among patients with ‘ventricular arrhythmia’ (e.g. highest depression scores and highest prevalence of feeling unsafe at discharge). Regression analysis revealed that longer hospital stay, female gender, being unmarried and having a short education were significantly associated with poor health for almost all arrhythmia subgroups. Conclusion: Differences exist in self-reported health, quality of life and symptom burden across arrhythmia groups with patients with ventricular arrhythmia reporting poorer patient-reported outcomes. Longer hospital stay, female gender, being unmarried and having a low level of education were significantly associated with worse outcomes among the total population.

show abstract

“…En las variables sociodemográficas de este estudio se resalta la predominancia del género masculino de la muestra (81,2%), información similar a la de una investigación en paises de América del Norte, Europa y Asia con el 79% (15) . Hallazgos similares se observaron en estudios llevados a cabo en China (8) , Japón (16) , Irán (17) , Israel (18) , México (3) , Brasil (19) , Estados Unidos (20,21) , Australia (21) , España (22,23) , Alemania (24,25) , Países Bajos (26,27) , Dinamarca (28)(29)(30) y Suecia (31)(32)(33) . No obstante, en otras publicaciones, poco más del 60% de los participantes correspondían al género masculino (34)(35)(36) , mientras que en otras eran cerca del 68,4% de población masculina (17) .…”

Section: Discussionunclassified

“…Estos datos concuerdan con los resultados de estudios que describieron edades medias entre los 60 a 70 años (8,15,18,(20)(21)(22)(23)(24)(25)(26)(30)(31)(32)(33) con rangos extensos entre 17 a 94 años (8,16,22,23,31,33,35) . Otros estudios en países norteamericanos, europeos y oceánicos también han encontrado edades medias inferiores a los 60 años (3,17,19,(27)(28)(29)35,36) .…”

Section: Discussionunclassified

“…El 55,3% de los usuarios estaban casados(as), información semejante a la del estudio de Hammash et al, (21) y Berg et al, (30) , donde el 63% y el 65% tenían pareja, respectivamente, pero que difiere de otras investigaciones que han reportado valores cercanos o superiores al 70% (3,8,17,26,29,36) . Así mismo, el 54,1% de los pacientes participantes convivían con su esposo(a) e hijos, y en otras investigaciones un mayor porcentaje de usuarios vivían con alguien (8,16,19,22,24,25,(31)(32)(33)(34)37) , esto explica que la familia participa en las actuaciones después del alta hospitalaria para la recuperación física y la reincorporación social de los pacientes portadores de cardiodesfibriladores.…”

Section: Discussionunclassified

See 1 more Smart Citation

Calidad de vida relacionada con la salud, la ansiedad y depresión en personas con cardiodesfibrilador

Pulido-Montes

Robles

2021

Univ. Salud

View full text Add to dashboard Cite

Introducción: Las enfermedades cardiovasculares han provocado el incremento de arritmias en la población, aumentando el uso de dispositivos como el cardiodesfibrilador, que, si bien previene las arritmias, puede afectar la calidad de vida. Objetivo: Describir la asociación que existe entre la calidad de vida relacionada con la salud, la ansiedad y la depresión en personas portadoras de un cardiodesfibrilador. Materiales y métodos: Estudio cuantitativo, descriptivo correlacional, de corte transversal, donde participaron 85 pacientes con implante de cardiodesfibrilador. Se aplicó una ficha sociodemográfica, los instrumentos Cuestionario de Salud (SF-36), el Inventario de Ansiedad y Depresión de Beck. Resultados: El 81,2% de los participantes fueron hombres con rango de edad 36-92 años. La calidad de vida relacionada con la salud mostró correlación negativa media con respecto a la ansiedad (r = ‒0,622; p<0,001) y moderada, respecto a la depresión (rs = ‒0,599; p<0,001). Conclusiones: Portar un cardiodesfibrilador puede desencadenar ansiedad y depresión, si estos no se intervienen oportunamente la calidad de vida relacionada con la salud puede deteriorarse, por ello, es importante implementar acciones tempranas que generen bienestar.

show abstract

Patient-Reported Quality of Life as a Predictor of Mortality and Ventricular Tachyarrhythmia's During 7 Years’ Follow-Up in Patients With an Implantable Cardioverter Defibrillator (from the MIDAS Study)

Abstract: Running title: Patient-reported quality of life, tachyarrhythmia's and mortality Total number of tables and figures: 4

Cited by 10 publications

References 29 publications

Quality of life, depression, and anxiety in patients with a subcutaneous versus transvenous defibrillator system

Quality of life, depression, and anxiety in patients with a subcutaneous versus transvenous defibrillator system

Patient-reported outcomes at hospital discharge among patients with arrhythmia: Results from the national DenHeart survey

Calidad de vida relacionada con la salud, la ansiedad y depresión en personas con cardiodesfibrilador

Contact Info

Product

Resources

About