Evidence-based treatment and quality of life in heart failure.
OBJECTIVES: To explore whether prescription of evidence-based drug therapy is associated with better quality of life (QoL) in patients with heart failure (HF). METHODS: Patients (n = 62) were recruited in the outpatient clinic of Groningen University Hospital. Inclusion criteria were previous diagno...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 12; no. 3; pp. 334 - 341 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2006
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106218335&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106218335 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Jun2006 vid: 12 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106218335 106218335 2009334866 10.1111/j.1365-2753.2006.00564.x NLM16722919 106218335 ppf: 334 ppct: 7 formats: tig: atl: Evidence-based treatment and quality of life in heart failure. aug: au: Dobre D van Jaarsveld CHm Ranchor AV Arnold R de Jongste MJl Haaijer Ruskamp FM affil: Northern Centre for Health Care Research, Department of Health Sciences, University of Groningen, The Netherlands. d.dobre@med.rug.nl sug: subj: Heart Failure Drug Therapy Medical Practice, Evidence-Based Outcome Assessment Practice Guidelines Quality of Life Academic Medical Centers Adrenergic beta-Antagonists Therapeutic Use Adult Aged Aged, 80 and Over Angiotensin-Converting Enzyme Inhibitors Therapeutic Use Chi Square Test Clinical Assessment Tools Cross Sectional Studies Data Analysis Software Diuretics Therapeutic Use Drug Therapy, Combination Female Male Middle Age Netherlands Pearson's Correlation Coefficient Spironolactone Therapeutic Use Step-Wise Multiple Regression T-Tests Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: OBJECTIVES: To explore whether prescription of evidence-based drug therapy is associated with better quality of life (QoL) in patients with heart failure (HF). METHODS: Patients (n = 62) were recruited in the outpatient clinic of Groningen University Hospital. Inclusion criteria were previous diagnosis of HF, age 40-80 years; ejection fraction of less than 45%, free from other serious disease (such as cancer) and psychiatric problems in the last year. QoL was assessed with the RAND 36-item health survey questionnaire, on five scales: physical functioning, mental health, social functioning, vitality and general health perception. Medication prescribed for 1 to 6 months before the QoL assessment was classified as either evidence-based treatment or under-treatment, according to the 2001 European guidelines on optimal HF treatment. The study had a cross-sectional design. RESULTS: QoL did not differ significantly between evidence-based and under-treated patients, unadjusted or after adjustment for significant patient imbalances. CONCLUSIONS: Conventional step-up medication approach in HF may have a positive impact on survival or morbidity, but it seems not beneficial in relation to QoL. Other interventions should be designed to improve QoL of patients with HF. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|