Evaluation of Quality of Life in Patients with and without Heart Failure in Primary Care

Heart failure (HF) is a major public health issue with implications on health-related quality of life (HRQL). To compare HRQL, estimated by the Short-Form Health Survey (SF-36), in patients with and without HF in the community. Cross-sectional study including 633 consecutive individuals aged 45 year...

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Published in:	Arquivos brasileiros de cardiologia Vol. 109; no. 3; pp. 248 - 252
Main Authors:	Jorge, Antonio José Lagoeiro, Rosa, Maria Luiza Garcia, Correia, Dayse Mary da Silva, Martins, Wolney de Andrade, Ceron, Diana Maria Martinez, Coelho, Leonardo Chaves Ferreira, Soussume, William Shinji Nobre, Kang, Hye Chung, Moscavitch, Samuel Datum, Mesquita, Evandro Tinoco
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Cardiologia - SBC 01-09-2017 Sociedade Brasileira de Cardiologia (SBC)
Subjects:	Aged CARDIAC & CARDIOVASCULAR SYSTEMS Cross-Sectional Studies Female Heart Failure Heart Failure - psychology Humans Male Middle Aged Original Primary Health Care Quality of Life Quality of Life - psychology Surveys and Questionnaires Heart Failure Quality of Life Primary Health Care Atenção Primária à Saúde Qualidade de Vida Insuficiência Cardíaca
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Summary:	Heart failure (HF) is a major public health issue with implications on health-related quality of life (HRQL). To compare HRQL, estimated by the Short-Form Health Survey (SF-36), in patients with and without HF in the community. Cross-sectional study including 633 consecutive individuals aged 45 years or older, registered in primary care. The subjects were selected from a random sample representative of the population studied. They were divided into two groups: group I, HF patients (n = 59); and group II, patients without HF (n = 574). The HF group was divided into HF with preserved ejection fraction (HFpEF - n = 35) and HF with reduced ejection fraction (HFrEF - n = 24). Patients without HF had a mean SF-36 score significantly greater than those with HF (499.8 ± 139.1 vs 445.4 ± 123.8; p = 0.008). Functional capacity - ability and difficulty to perform common activities of everyday life - was significantly worse (p < 0.0001) in patients with HF independently of sex and age. There was no difference between HFpEF and HFrEF. Patients with HF had low quality of life regardless of the syndrome presentation (HFpEF or HFrEF phenotype). Quality of life evaluation in primary care could help identify patients who would benefit from a proactive care program with more emphasis on multidisciplinary and social support. (Arq Bras Cardiol. 2017; [online].ahead print, PP.0-0).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0066-782X 1678-4170 1678-4170
DOI:	10.5935/abc.20170123