HEALTH RELATED QUALITY OF LIFE AT ONE YEAR POST DISCHARGE IN PATIENTS WITH HEART FAILURE

Author(s)

Escobar A1, Trancho Z1, Gonzale-Saenz de Tejada M1, Quiros R2, Garcia Perez L3, Navarro G4, Bilbao A5
1Basurto University Hospital (Osakidetza).Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC)., Bilbao, Spain, 2Hospital Costa del Sol.Marbella, Marbella, Spain, 3D. Servicio Canario de Salud.Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Santa Cruz, Spain, 4Corporació Sanitària Parc Taulí, Sabadell, Spain, 5Basurto University Hospital (Osakidetza). Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Bilbao, Spain

OBJECTIVES There are few studies in Spain about outcomes at 1-year in terms of health-related quality of life (HRQoL) in patients hospitalized by heart failure (HF). The main objective of the present study was to evaluate changes in HRQoL from baseline to 1-year post discharge in patients with HF through two questionnaires, SF-12 and Minnesota Living with Heart Failure questionnaire (MLHFQ) METHODS This has been a prospective study with 502 patients admitted by HF in Basque Country (Spain). Patients completed questionnaires during their hospitalization and at 1-year. The MLHFQ is a specific instrument which has 21 items with an overall scale, physical (8 items) and emotional (5 items) subscales. MLHFQ items are scoring from 0 (best) to 5 (worst). Total score ranges from 0 to 105, physical domain from 0 to 40 and emotional from 0 to 25. SF-12 has two dimensions, Physical Summary Score (PCS) and Mental Summary Score (MSC) which scores range from 0 (worst) to 100 (best). We have used general linear model to study gains in each dimension adjusted by baseline score, age, gender and hospital readmissions in the previous 6 months. RESULTS Mean age was 76.7 (SD=10.4), there were a 56.1% of men and 20.3% of readmissions in the previous six months.  Regarding both questionnaires and dimensions, baseline status influence in gains, the worse the baseline the more the gains. Likewise men have greater gains and patients readmitted lower in all domains. Age has an influence in MLHFQ physical domain and PCS. CONCLUSIONS Adjusted by baseline score and readmissions, men have greater improvements in all domains of MLHFQ and SF-12. On the other hand, the younger the patients the higher the improvement is, in physical domains however age does not have any influence in psychological domains.

Conference/Value in Health Info

2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PCV132

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Cardiovascular Disorders

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