TY - JOUR
T1 - Predictors of the quality of life of older people with heart failure recruited from primary care
AU - Gott, Merryn
AU - Barnes, Sarah
AU - Parker, Chris
AU - Payne, Sheila
AU - Seamark, David
AU - Gariballa, Salah
AU - Small, Neil
PY - 2006/3
Y1 - 2006/3
N2 - Background: Current understanding of quality of life in heart failure is largely derived from clinical trials. Older people, women and those with co-morbidities are underrepresented in these. Little is known about factors predictive of quality of life amongst older people with heart failure recruited from community settings. Objective: To identify factors predictive of quality of life amongst older people recruited from community settings. Design: Prospective questionnaire survey. Setting: General practice surgeries located in four areas of the UK: Bradford, Barnsley, East Devon and West Hampshire. Subjects: A total of 542 people aged >60 years with heart failure. Methods: Participants completed a postal questionnaire, which included a disease-specific measure (Kansas City Cardiomyopathy Questionnaire), a generic quality-of-life measure (SF-36) and sociodemographic information. Results: A multiple linear regression analysis identified the following factors as predictive of decreased quality of life: Being female, being in New York Heart Association (NYHA) functional class III or IV, showing evidence of depression, being in socioeconomic groups III-V and experiencing two or more co-morbidities. Older age was associated with decreased quality of life, as measured by a generic health-related quality-of-life tool (the SF-36 mental and physical health functioning scales) but not by a disease-specific tool (the Kansas City Cardiomyopathy Questionnaire). Conclusion: Findings from the study suggest that quality of life for older people with heart failure can be described as challenging and difficult, particularly for women, those in a high NYHA class, patients showing evidence of depression, patients in socioeconomic groups III-V, those experiencing two or more co-morbidities and the 'oldest old'. Such information can help clinicians working with older people identify those at risk of reduced quality of life and target interventions appropriately.
AB - Background: Current understanding of quality of life in heart failure is largely derived from clinical trials. Older people, women and those with co-morbidities are underrepresented in these. Little is known about factors predictive of quality of life amongst older people with heart failure recruited from community settings. Objective: To identify factors predictive of quality of life amongst older people recruited from community settings. Design: Prospective questionnaire survey. Setting: General practice surgeries located in four areas of the UK: Bradford, Barnsley, East Devon and West Hampshire. Subjects: A total of 542 people aged >60 years with heart failure. Methods: Participants completed a postal questionnaire, which included a disease-specific measure (Kansas City Cardiomyopathy Questionnaire), a generic quality-of-life measure (SF-36) and sociodemographic information. Results: A multiple linear regression analysis identified the following factors as predictive of decreased quality of life: Being female, being in New York Heart Association (NYHA) functional class III or IV, showing evidence of depression, being in socioeconomic groups III-V and experiencing two or more co-morbidities. Older age was associated with decreased quality of life, as measured by a generic health-related quality-of-life tool (the SF-36 mental and physical health functioning scales) but not by a disease-specific tool (the Kansas City Cardiomyopathy Questionnaire). Conclusion: Findings from the study suggest that quality of life for older people with heart failure can be described as challenging and difficult, particularly for women, those in a high NYHA class, patients showing evidence of depression, patients in socioeconomic groups III-V, those experiencing two or more co-morbidities and the 'oldest old'. Such information can help clinicians working with older people identify those at risk of reduced quality of life and target interventions appropriately.
KW - Community
KW - Elderly
KW - Heart failure
KW - Older people
KW - Quality of life
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U2 - 10.1093/ageing/afj040
DO - 10.1093/ageing/afj040
M3 - Article
C2 - 16495294
AN - SCOPUS:33644976907
SN - 0002-0729
VL - 35
SP - 172
EP - 177
JO - Age and Ageing
JF - Age and Ageing
IS - 2
ER -