Key result
In patients with end-stage heart failure awaiting transplantation, health-related quality of life was significantly correlated with functional status (NYHA, 6 MWT, pVO2) and psychological symptoms.
Cross-Sectional (n=123)
No
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In patients with end-stage heart failure awaiting transplantation, health-related quality of life is significantly associated with both functional capacity and psychological symptoms like depression.
Quality of life is an important outcome measure in patients with end-stage heart failure waiting for heart transplantation. The purpose of this study was to investigate the relationship between aspects of quality of life and physiological and psychosocial variables in patients with end-stage heart failure. A total of 123 patients participated in the study. The functional status was assessed with New York Heart Association (NYHA) functional classification, a 6-minute walk test (6 MWT) and peak oxygen uptake (pVO(2)). Health related quality of life (HRQOL) was measured with Medical Outcomes Study, 36-item Short Form Survey (SF-36), and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) were used to assess psychological symptoms. A significant relationship was found between HRQOL (SF-36 and MLHFQ) and functional status (NYHA, 6 MWT and pVO(2)) (p < 0.05). Psychological symptoms (BDI) were associated with HRQOL (p < 0.05). In addition to clinical derangements, functional limitation and psychological distress can lead to limitations in activities of daily life through impairment of quality of life. It would be helpful to evaluate psychological symptoms and quality of life in patients with end-stage heart failure besides routine clinical evaluations.
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Karapolat et al. (2008) conducted a cross-sectional in End-stage heart failure awaiting heart transplantation (n=123). Functional capacity and psychological symptoms was evaluated on Correlation between health-related quality of life (SF-36 and MLHFQ) and functional status/psychological symptoms (p=<0.05). In patients with end-stage heart failure awaiting transplantation, health-related quality of life was significantly correlated with functional status (NYHA, 6 MWT, pVO2) and psychological symptoms.
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