Prevalence and Correlates of Cardiac Cachexia among Jordanian Patients with Chronic Heart Failure

Abstract

Background: Cardiac cachexia is considered as an ominous complication that possibly associated with the terminal stages of chronic heart failure as it consumes the protein-calories reserves of the patients. Aims:The aims of this study were to identify the prevalence, level, and correlates of cardiac cachexia among Jordanian patients with chronic heart failure. Methods:A cross-sectional design was employed. A convenient sample of 300 chronic heart failure patients was recruited from accessible chronic heart failure patients who regularly visit the cardiac care clinics at two different hospitals that represent two health sectors in Jordan. A self-developed instrument was used to collect the data for the purpose of this study. Results:The mean of the total cachexia score of the sample was 5.88. Cardiac cachexia was detected in 58.7% (n= 176) about half of them were having mild cachexia. The prevalence of cardiac cachexia was 13.15%. There were statistically significant correlation between the total cachexia score and some variables that include the patients' age, monthly income, and number of years since diagnosed as chronic heart failure patients; however, number of daily smoked cigarettes wasn't significantly correlated with the total cachexia score. Conclusion:Cardiac cachexia has not been widely investigated yet. The findings of this study can be used as a baseline data since this study is the first of its kind conducted at the national and regional level. In addition, this study can be useful for determining effective therapeutic modalities that can be employed on behalf of those patients among the health care team; particularly nurses.

Prevalence of cardiac cachexia among congestive heart failure patients

“…Cardiac cachexia is an an ominous complication associated with congestive cardiac failure (CCF) because it depletes the protein-calorie stores of patients with chronic heart failure, especially older adults. In developing countries, heart diseases are an emerging health problem with a proportion of deaths ranging from 25% to 45% due to increased risk factors with an absence of effective preventive measures [1]. Cardiovascular disease (CVD) is now the leading cause of death in India, accounting for more than 80% of cardiovascular deaths.…”