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Quality of Life Predicts Survival and Hospitalisation in a Heart Failure Portuguese Population

Author

Listed:
  • Sónia Ramos

    (University of Porto)

  • Joana Prata

    (University of Porto)

  • Francisco Rocha-Gonçalves

    (University of Porto)

  • Paulo Bettencourt

    (University of Porto)

  • Rui Coelho

    (University of Porto
    University of Porto)

Abstract

The aim of this study was to examine whether quality of life (QoL) is an independent predictor of death and hospitalization for cardiovascular (CV) causes in patients with heart failure (HF). A 6- year prospective study was conducted on 130 outpatients with HF who were recruited from a cardiology service at S. João Hospital. Generic QoL was measured with the Medical Outcome Study 36-item Short Form Survey (SF-36), disease-specific QoL was measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the Beck Depression Inventory Scale (BDI-II) was used to screen for depressive symptoms (DS). Logistic regression and multinomial logistic regression analysis were used to evaluate the independent prognostic value of QoL measures on all cause mortality and hospitalization for CV causes after adjustment for clinical risk factors. During the follow-up 48 % of the participants died for all causes and 38 % were hospitalized for CV causes. Both generic and disease-specific QoL instruments were predictive of mortality and hospitalization on univariate analysis. After adjustment for prognostic factors such as DS, age, gender, B-type natriuretic peptide (BNP) levels, renal insufficiency and functional class NHYA only the summary clinical domain of KCCQ remained predictive of mortality. With respect to hospitalization for CV causes remained the predictive power: the summary clinical domain and the self-efficacy domains of KCCQ and the physical health domain of SF-36. Worse QoL is associated with all- cause death and hospitalization for CV causes in patients with HF and its impact persists over 6 years.

Suggested Citation

  • Sónia Ramos & Joana Prata & Francisco Rocha-Gonçalves & Paulo Bettencourt & Rui Coelho, 2017. "Quality of Life Predicts Survival and Hospitalisation in a Heart Failure Portuguese Population," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(1), pages 35-48, March.
    • Handle: RePEc:spr:ariqol:v:12:y:2017:i:1:d:10.1007_s11482-016-9449-8
    DOI: 10.1007/s11482-016-9449-8
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    Cited by:

    1. František Murgaš & František Petrovič & Anna Tirpáková, 2022. "Social Capital as a Predictor of Quality of Life: The Czech Experience," IJERPH, MDPI, vol. 19(10), pages 1-17, May.

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