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- Title
The association between heart failure hospitalization and self-reported domains of health.
- Authors
Nichols, Gregory A.; Pesa, Jacqueline; Sapp, Daniel S.; Patel, Aarti
- Abstract
<bold>Background: </bold>We compared self-reported domains of health between patients who with vs. without a recent heart failure (HF) hospitalization.<bold>Methods: </bold>We fielded a 59-item questionnaire that included the 12-item Kansas City Cardiomyopathy Questionnaire (KCCQ-12) to age/sex-matched groups of 2000 HF patients who had and had not had a recent HF hospitalization. We entered questionnaire responses and electronic medical record data into multivariable logistic regression models to identify independent associations with a HF hospitalization.<bold>Results: </bold>After two mailings, we received 468 completed questionnaires for response rate of 23.4%. Patients with a recent HF hospitalization had significantly lower scores on the KCCQ-12 Quality of Life (52.6 vs. 59.6, p = 0.016) and Social Limitations (48.4 vs. 55.5, p = 0.009) scales as well as the Clinical Summary Scale (50.8 vs. 55.3, p = 0.048) and Total KCCQ-12 score (49.6 vs. 56.8, p = 0.003). In sequential logistic regression models designed to achieve parsimony, Total KCCQ was a strong predictor of being in the recent hospitalization group. When using the KCCQ-12 sub-scales, the Social Limitations scale was a strong predictor of being in the recent hospitalization group.<bold>Conclusions: </bold>After accounting for comorbidities and other risk factors, a HF hospitalization appears to profoundly limit social activities which can increase the risk of poor outcomes.
- Subjects
HEART failure; HOSPITAL care; ELECTRONIC health records; LOGISTIC regression analysis; REGRESSION analysis
- Publication
Quality of Life Research, 2020, Vol 29, Issue 4, p953
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-019-02373-9