PMID- 31044230
OWN - NLM
STAT- MEDLINE
DCOM- 20200608
LR  - 20200608
IS  - 1460-2229 (Electronic)
IS  - 0263-2136 (Linking)
VI  - 36
IP  - 6
DP  - 2019 Nov 18
TI  - Disability and quality of life in heart failure patients: a cross-sectional 
      study.
PG  - 693-698
LID - 10.1093/fampra/cmz017 [doi]
AB  - BACKGROUND: Although both hospitalization and mortality due to heart failure (HF) 
      have been widely studied, less is known about the impact of HF on disability and 
      quality of life. AIM: To assess the degree of disability and quality of life in 
      HF patients attended at family medicine centres. DESIGN AND SETTING: 
      Cross-sectional study of a cohort of HF patients attended at family medicine 
      centres. METHODS: Disability was assessed with the WHODAS 2 questionnaire, which 
      provides a global and six domain scores that is understanding and communication, 
      getting around, self-care, getting along with people, life activities and 
      participation in society. Quality of life was assessed with the Minnesota Living 
      with Heart Failure Questionnaire, which furnishes a global and two domain scores, 
      physical and emotional. RESULTS: A breakdown of the results showed that 28% of 
      patients had moderate disability and 16.7% had severe disability, with the most 
      important areas affected being: life activities, 8.9% extreme disability and 
      30.3% severe disability; getting around, 34.6% severe disability and 2% extreme 
      disability; and participation in society, 53.3% moderate-severe disability. 
      Quality of life was mildly affected. New York Heart Association (NYHA) Functional 
      Classification and sex were the major determinants of disability and quality of 
      life. Angiotensin-converting enzyme inhibitors and angiotensin II receptor 
      antagonists were associated with better scores in the "getting around" and "life 
      activity" domains. CONCLUSION: HF patients in primary care show an important 
      degree of disability and an acceptable quality of life.
CI  - (c) The Author(s) 2019. Published by Oxford University Press. All rights reserved. 
      For permissions, please e-mail: journals.permissions@oup.com.
FAU - Garcia-Olmos, Luis
AU  - Garcia-Olmos L
AD  - Multiprofessional Education Unit for Family and Community Care (South-east), 
      Madrid.
AD  - Health Service Research Network for Chronic Diseases (Red de Investigacion en 
      Servicios de Salud en Enfermedades Cronicas/REDISSEC), Madrid.
FAU - Batlle, Maurice
AU  - Batlle M
AD  - Cardiology Department, University of Henares Teaching Hospital, Madrid.
FAU - Aguilar, Rio
AU  - Aguilar R
AD  - Cardiology Department, La Princesa University Teaching Hospital, Madrid.
FAU - Porro, Carlos
AU  - Porro C
AD  - Cardiology Department, University of Henares Teaching Hospital, Madrid.
FAU - Carmona, Montse
AU  - Carmona M
AD  - Health Service Research Network for Chronic Diseases (Red de Investigacion en 
      Servicios de Salud en Enfermedades Cronicas/REDISSEC), Madrid.
AD  - Agency for Health Technology Assessment, Carlos III Institute of Health 
      (Instituto de Salud Carlos III/ISCIII), Madrid.
FAU - Alberquilla, Angel
AU  - Alberquilla A
AD  - Health Service Research Network for Chronic Diseases (Red de Investigacion en 
      Servicios de Salud en Enfermedades Cronicas/REDISSEC), Madrid.
AD  - Multiprofessional Education Unit for Family and Community Care (Centre), Madrid.
FAU - Sanchez-Gomez, Luis M
AU  - Sanchez-Gomez LM
AD  - Health Service Research Network for Chronic Diseases (Red de Investigacion en 
      Servicios de Salud en Enfermedades Cronicas/REDISSEC), Madrid.
AD  - Agency for Health Technology Assessment, Carlos III Institute of Health 
      (Instituto de Salud Carlos III/ISCIII), Madrid.
FAU - Monge, Elena
AU  - Monge E
AD  - Ciudad San Pablo Health Centre, Coslada, Madrid.
FAU - Lopez-Rodriguez, Ana B
AU  - Lopez-Rodriguez AB
AD  - Jaime Vera Health Centre, Coslada, Madrid.
FAU - Benito, Luis
AU  - Benito L
AD  - San Fernando Health Centre, San Fernando de Henares, Madrid.
FAU - Banos, Nicolas
AU  - Banos N
AD  - Ciudad San Pablo Health Centre, Coslada, Madrid.
FAU - Simon, Amaya
AU  - Simon A
AD  - Los Alperchines Health Centre, San Fernando de Henares, Madrid.
FAU - Martinez-Alvarez, Miguel A
AU  - Martinez-Alvarez MA
AD  - Los Alperchines Health Centre, San Fernando de Henares, Madrid.
FAU - Luque, Eva M
AU  - Luque EM
AD  - San Fernando Health Centre, San Fernando de Henares, Madrid.
FAU - Garcia-Benito, Cristina
AU  - Garcia-Benito C
AD  - El Puerto Health Centre, Coslada, Madrid, Spain.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Fam Pract
JT  - Family practice
JID - 8500875
RN  - 0 (Angiotensin Receptor Antagonists)
RN  - 0 (Angiotensin-Converting Enzyme Inhibitors)
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Angiotensin Receptor Antagonists/therapeutic use
MH  - Angiotensin-Converting Enzyme Inhibitors/therapeutic use
MH  - Cross-Sectional Studies
MH  - *Disability Evaluation
MH  - Disabled Persons/*statistics & numerical data
MH  - Female
MH  - Heart Failure/*drug therapy/*physiopathology
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Primary Health Care
MH  - *Quality of Life
MH  - Self Care/statistics & numerical data
MH  - Spain
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Disability
OT  - International Classification of Functioning Disability and Health
OT  - family practice
OT  - heart failure
OT  - primary health care
OT  - quality of life
EDAT- 2019/05/03 06:00
MHDA- 2020/06/09 06:00
CRDT- 2019/05/03 06:00
PHST- 2019/05/03 06:00 [pubmed]
PHST- 2020/06/09 06:00 [medline]
PHST- 2019/05/03 06:00 [entrez]
AID - 5482447 [pii]
AID - 10.1093/fampra/cmz017 [doi]
PST - ppublish
SO  - Fam Pract. 2019 Nov 18;36(6):693-698. doi: 10.1093/fampra/cmz017.