Why the study?
Depression is a frequent comorbidity in chronic HF linked to unfavorable outcomes, prompting assessment of depressive tendencies and socioeconomic factors in hospitalized NYHA class III-IV HF patients.
In elderly patients hospitalized with advanced heart failure, living alone is a significant independent predictor of higher depressive symptoms.
May support depression screening in elderly HF patients living alone; leaves open causality and intervention effects.
INTRODUCTION: Heart failure (HF) is a chronic progressive syndrome, which is a result of preceding heart diseases and manifests with serious symptoms. Depression and anxiety are frequent comorbidities in chronic HF, which deteriorate the general status of the patients and are related to unfavorable health results-increased number of hospitalizations, deteriorated quality of life, and elevated mortality. AIM: The aim of this article is to assess the tendency to fall into depression of patients with HF in NYHA class III-IV, hospitalized in the non-invasive cardiology clinic of St. Marina University Hospital, Varna and the link to socioeconomic factors-social isolation, family status, educational level, region of residence and so on. MATERIALS AND METHODS: Overall, 39 patients with HF (17 women and 22 men) were investigated. They were in III-IV NYHA functional class during hospitalization. After preliminarily informed consent, they were asked to fill out a validated screening questionnaire for depression in adults-the 15-item Geriatric Depression Scale (GDS). The link to the patients' socioeconomic, demographic, biological, and clinical characteristics was sought with the help of a multi-factor linear and logistic regression analysis.
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Georgieva et al. (2020) studied this question.
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