April 1, 2007Pacing and Clinical Electrophysiology
Quality of Life Among Implantable Cardioverter‐Defibrillator Recipients in the Primary Prevention Therapeutic Era
Key result
Primary prevention ICD recipients report similar quality of life to secondary prevention recipients.
- P=0.71
- n=120
Why the study?
The quality-of-life effects of implantable cardioverter-defibrillators among primary prevention patients are not well understood.
Does health-related quality of life differ between primary and secondary prevention ICD recipients?
Population
45 primary prevention and 75 secondary prevention ICD recipients in University of Pennsylvania Health System
Comparison
Primary prevention ICD recipients vs secondary prevention ICD recipients
Design
Cross-sectional study using validated general and ICD-specific QOL instruments
Authors
Discussion
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Member takes
Implication
QOL comparable across primary and secondary prevention ICD recipients; observational data leave open effects on distress or adaptation in broader cohorts.
Study Design
Type
Cross-Sectional (n=120)
Multicenter
No
Structured PICO
Does health-related quality of life differ between primary and secondary prevention ICD recipients?
P
Population
120 primary and secondary prevention ICD recipients receiving routine care assessed for quality of life.
E
Exposure
Implantable cardioverter-defibrillator (ICD) for primary prevention
C
Comparator
Implantable cardioverter-defibrillator (ICD) for secondary prevention
O
Outcome
Health-related quality of life measured by EuroQol 5D, Health Utilities Index, Short Form-12, and Florida Patient Acceptance Surveypatient reported
Main Result
Absolute Event Rate: 0.84% vs 0.84%
p-value: p=0.71
Quality of life and device acceptance are comparable between primary and secondary prevention ICD recipients, though both groups share specific concerns regarding lifting, sexual activity, and driving.
Cite This Study
Groeneveld et al. (2007) conducted a cross-sectional in Implantable cardioverter-defibrillator (ICD) recipients (n=120). Primary prevention ICD vs. Secondary prevention ICD was evaluated on EuroQol 5D score (p=0.71). Primary prevention ICD recipients had similar quality of life compared to secondary prevention recipients, with median EuroQol 5D scores of 0.84 in both groups (P=0.71).