1. Disability and quality of life in heart failure patients: a cross-sectional study.
- Author
-
García-Olmos, Luis, Batlle, Maurice, Aguilar, Rio, Porro, Carlos, Carmona, Montse, Alberquilla, Angel, Sánchez-Gómez, Luis M, Monge, Elena, López-Rodríguez, Ana B, Benito, Luis, Baños, Nicolas, Simón, Amaya, Martínez-Álvarez, Miguel A, Luque, Eva M, and García-Benito, Cristina
- Subjects
- *
HEART failure patients , *QUALITY of life , *ANGIOTENSIN-receptor blockers , *ACE inhibitors , *HEMOPHILIACS , *DISABILITIES , *PATIENTS - Abstract
Background: Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life.Aim: To assess the degree of disability and quality of life in HF patients attended at family medicine centres.Design and Setting: Cross-sectional study of a cohort of HF patients attended at family medicine centres.Methods: Disability was assessed with the WHODAS 2 questionnaire, which provides a global and six domain scores that is understanding and communication, getting around, self-care, getting along with people, life activities and participation in society. Quality of life was assessed with the Minnesota Living with Heart Failure Questionnaire, which furnishes a global and two domain scores, physical and emotional.Results: A breakdown of the results showed that 28% of patients had moderate disability and 16.7% had severe disability, with the most important areas affected being: life activities, 8.9% extreme disability and 30.3% severe disability; getting around, 34.6% severe disability and 2% extreme disability; and participation in society, 53.3% moderate-severe disability. Quality of life was mildly affected. New York Heart Association (NYHA) Functional Classification and sex were the major determinants of disability and quality of life. Angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists were associated with better scores in the "getting around" and "life activity" domains.Conclusion: HF patients in primary care show an important degree of disability and an acceptable quality of life. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF