Heart failure was associated with significantly lower mean SF-36 quality of life scores compared to patients without heart failure (445.4 vs 499.8; p=0.008), regardless of HF phenotype.
Cross-Sectional (n=633)
Does heart failure reduce health-related quality of life in primary care patients aged 45 years or older?
Patients with heart failure in primary care have significantly lower quality of life compared to those without, regardless of ejection fraction phenotype.
Absolute Event Rate: 445.4% vs 499.8%
p-value: p=0.008
BACKGROUND: Heart failure (HF) is a major public health issue with implications on health-related quality of life (HRQL). OBJECTIVE: To compare HRQL, estimated by the Short-Form Health Survey (SF-36), in patients with and without HF in the community. METHODS: 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). RESULTS: 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. CONCLUSION: 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).
Jorge et al. (Sun,) conducted a cross-sectional in Heart Failure (n=633). Heart Failure vs. Without Heart Failure was evaluated on Health-related quality of life (HRQL) estimated by the Short-Form Health Survey (SF-36) (p=0.008). Heart failure was associated with significantly lower mean SF-36 quality of life scores compared to patients without heart failure (445.4 vs 499.8; p=0.008), regardless of HF phenotype.