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Quality of Life is an Independent Predictor of Mortality in Patients with Heart Failure: A Prospective Cohort Study from the Colombian Heart Failure Registry (RECOLFACA).
Gómez-Mesa, Juan Esteban; Luna-Bonilla, Paula; Echeverría, Luis Eduardo; Rivera-Toquica, Alex; Jurado-Arenales, Adriana Milena; Orozco, María Johanna; Buitrago-Malaver, Lilia Andrea; Rivera, Edilma L; González, Diana Verónica; Coronado-Villa, Estefanny; Toro-Cardona, Olga Cristina; López-Montes, Cristian Alexander; Vargas-Márquez, Ludy Yanet; Martínez-Camargo, Silvia; Agudelo-Pérez, Adriana; Vivas-Mayor, Marcela; Niño, Lina María; Mejía-Cadavid, Luz Aida; Aponte-Romero, Luisa Fernanda; Erazo, María José; García-Barrera, María; Meza-Roque, Julio Armando; Ríos-Sánchez, Viviana; Torres-Moreno, Fabián; Castañeda-M, Jenny; Gallego, Cesar A; Martínez, Fanny Esther; Blandón-Córdoba, Carmen Jineth; Silva-Carmona, Mónica; Saldarriaga, Clara.
Afiliación
  • Gómez-Mesa JE; Fundación Valle del Lili, Department of Cardiology, Cali, Colombia.
  • Luna-Bonilla P; Universidad Icesi, Department of Health Sciences, Cali, Colombia.
  • Echeverría LE; Sociedad Colombiana de Cardiología y Cirugía Cardiovascular, Department of Clinical Records, Bogotá, Colombia.
  • Rivera-Toquica A; Fundación Cardiovascular de Colombia (FCV), Department of Cardiology, Floridablanca, Colombia.
  • Jurado-Arenales AM; Centro Médico para el Corazón, Department of Cardiology, Pereira, Colombia.
  • Orozco MJ; Clínica los Rosales, Department of Cardiology, Pereira, Colombia.
  • Buitrago-Malaver LA; Universidad Tecnológica de Pereira, Department of Cardiology, Pereira, Colombia.
  • Rivera EL; Fundación Cardiovascular de Colombia (FCV), Department of Heart Failure, Bucaramanga, Colombia.
  • González DV; Secretaría de Salud, Cali, Colombia.
  • Coronado-Villa E; Universidad Libre, Faculty of Health, Pereira, Colombia.
  • Toro-Cardona OC; Hospital Universitario Fundación Valle del Lili, Department of Cardiology, Cali, Colombia.
  • López-Montes CA; Fundación Santafé de Bogotá, Department of Cardiology, Bogotá, Colombia.
  • Vargas-Márquez LY; Salud Social IPS, Department of Cardiology, Barranquilla, Colombia.
  • Martínez-Camargo S; Cardiología Siglo XXI, Department of Cardiology, Ibagué, Colombia.
  • Agudelo-Pérez A; AVIDANTI, Service of Hemodynamics/Electrophysiology, Manizales, Colombia.
  • Vivas-Mayor M; Red salud integral IPS, Cardiology Unit, Norte de Santander, Colombia.
  • Niño LM; Fundación Clínica Shaio, Department of Cardiology, Bogotá, Colombia.
  • Mejía-Cadavid LA; Clínica Cardio VID, External Consulting, Medellín, Colombia.
  • Aponte-Romero LF; DIME Clínica Neurocardiovascular, Heart failure and transplant unit, Cali, Colombia.
  • Erazo MJ; Instituto del Corazón de Bucaramanga, Department of Cardiology, Bucaramanga, Colombia.
  • García-Barrera M; Clínica El Rosario, Research Department, Medellín, Colombia.
  • Meza-Roque JA; Hospital Universitario San Ignacio, Heart failure clinic and heart transplant, Bogotá  Colombia.
  • Ríos-Sánchez V; Hospital Universitario de Sincelejo, Sincelejo, Colombia.
  • Torres-Moreno F; Clínica Iberoamérica, Heart Failure Department, Barranquilla, Colombia.
  • Castañeda-M J; Unimedic, Pasto, Colombia.
  • Gallego CA; Centro Cardiovascular Somer Incare, Non-invasive diagnostic aids unit, Rionegro, Colombia.
  • Martínez FE; Hospital Universitario Fundación Valle del Lili, Department of Cardiology, Cali, Colombia.
  • Blandón-Córdoba CJ; Fundación Santafé de Bogotá, Department of Cardiology, Bogotá, Colombia.
  • Silva-Carmona M; Salud Social IPS, Department of Cardiology, Barranquilla, Colombia.
  • Saldarriaga C; Cardiología Siglo XXI, Department of Cardiology, Ibagué, Colombia.
Eur J Cardiovasc Nurs ; 2024 Aug 23.
Article en En | MEDLINE | ID: mdl-39177271
ABSTRACT

AIM:

Patients with Heart Failure (HF) commonly have poor quality of life (QoL), secondary to the persistence and severity of HF symptoms. We aimed to evaluate the prognostic value of QoL measures on all-cause mortality in patients with HF from the Colombian registry of heart failure (RECOLFACA). METHODS AND

RESULTS:

We analyzed data from patients registered in RECOLFACA during 2017-2019. QoL was measured using the EuroQol-5D questionnaire (EQ-5D). From the questionnaire, two independent predictors of mortality were obtained, the visual analogue scale (VAS) and the utility score (US). Primary outcome was all-cause mortality, and secondary variables evaluated were demographic factors, comorbidities, NYHA classification, medications used and laboratory test results. To analyze survival among patients, the Kaplan-Meier method and the hierarchical Cox proportional-hazards regression model were used. This study included 2514 patients from RECOLFACA. Most patients were male (57.6%), and mean age was 67.8 years. Mean value and standard deviation (SD) of the VAS score was 78.8 ± 20.1 points, while the mean and SD of the US score was 0.81 ± 0.20. As the Kaplan-Meier curve illustrated, patients in the lower quartiles of both VAS and US scores had a significantly higher probability of mortality (log-rank test p<0.001 for both scores).

CONCLUSION:

QoL, as calculated by the EQ-5D questionnaire, served as an independent predictor of mortality in patients from RECOLFACA. Further studies may be needed to evaluate whether provision of optimizing therapies and follow-up care based on patients' perceived QoL reduces short- and long-term mortality rates in this population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Colombia Idioma: En Revista: Eur J Cardiovasc Nurs Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Colombia Idioma: En Revista: Eur J Cardiovasc Nurs Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Reino Unido