| Title: | Comorbidities and characteristics of coronary heart disease patients: their impact on health-related quality of life |
|---|
| Authors: | ID Tušek-Bunc, Ksenija (Author)
ID Petek, Davorina (Author) |
|---|
| Files: |  Health_and_Quality_of_Life_Outcomes_2016_Tusek-Bunc,_Petek_Comorbidities_and_characteristics_of_coronary_heart_disease_patients_their_im.pdf (407,23 KB)
MD5: D6821232249BF3564DB75B2E5F640394
 http://hqlo.biomedcentral.com/articles/10.1186/s12955-016-0560-1
|
|---|
| Language: | English |
|---|
| Work type: | Scientific work |
|---|
| Typology: | 1.01 - Original Scientific Article |
|---|
| Organization: | MF - Faculty of Medicine
|
|---|
| Abstract: | Background: Patients with coronary heart disease (CHD) commonly present with more than one comorbid condition, contributing to poorer health-related quality of life (HRQoL). The aim of our study was to identify the associations between HRQoL and patient characteristics, vascular comorbidities and anxiety/depression disorders.
Methods: This observational study was conducted in 36 family medicine practices selected by random stratified sampling from all regions of Slovenia. HRQoL was assessed using the European Quality of Life - 5 Dimensions (EQ-5D) questionnaire and EQ Visual Analogue Scale (EQ-VAS). The associations between HRQoL and patient characteristics stratified by demographics, vascular comorbidities, health services used, their assessment of chronic illness care, and anxiety/depression disorders were identified by ordinal logistic regression and linear regression models.
Results: The final sample included 423 CHD patients with a mean age of 68.0 ± SD 10.8 years; 35.2% were female. Mean EQ-VAS score was 58.6 ± SD 19.9 (median: 60 with interquartile range of 45–75), and mean EQ-5D index was 0.60 ± SD 0.19 (median: 0.56 with interquartile range of 0.41–0.76). The statistically significant predictors of a lower EQ-VAS score were higher family physician visit frequency, heart failure (HF) and anxiety/depression disorders (R² 0.240; F = 17.368; p < 0.001). The statistically significant predictor of better HRQoL, according to EQ-5D was higher patient education, whereas higher family physician visit frequency, HF and peripheral artery disease (PAD) were predictors of poorer HRQoL (Nagelkerke R 2 = 0.298; χ 2 = 148.151; p < 0.001).
Conclusions: Results of our study reveal that comorbid conditions (HF and PAD), family physician visit frequency and years in education are significant predictors of HRQoL in Slovenian CHD patients. |
|---|
| Keywords: | coronary heart disease patient, health-related quality of life, vascular comorbidities, anxiety/depression disorders |
|---|
| Publication status: | Published |
|---|
| Publication version: | Version of Record |
|---|
| Year of publishing: | 2016 |
|---|
| Year of performance: | 2016 |
|---|
| Number of pages: | str. 1-12 |
|---|
| Numbering: | Letn. 14 |
|---|
| PID: | 20.500.12556/DKUM-66516  |
|---|
| ISSN: | 1477-7525 |
|---|
| UDC: | 616.12-009.17 |
|---|
| ISSN on article: | 1477-7525 |
|---|
| COBISS.SI-ID: | 512642360 |
|---|
| DOI: | 10.1186/s12955-016-0560-1 |
|---|
| NUK URN: | URN:SI:UM:DK:NF33MW4D |
|---|
| Publication date in DKUM: | 29.06.2017 |
|---|
| Views: | 1972 |
|---|
| Downloads: | 443 |
|---|
| Metadata: |    |
|---|
| Categories: | Misc.
|
|---|
|
:
|
Copy citation |
|---|
| | | | Average score: | (0 votes) |
|---|
| Your score: | Voting is allowed only for logged in users. |
|---|
| Share: |  |
|---|
Hover the mouse pointer over a document title to show the abstract or click
on the title to get all document metadata. |
