Academic Journal
Caregiver Health-Related Quality of Life, Burden, and Patient Outcomes in Ambulatory Advanced Heart Failure: A Report From REVIVAL
| العنوان: | Caregiver Health-Related Quality of Life, Burden, and Patient Outcomes in Ambulatory Advanced Heart Failure: A Report From REVIVAL |
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| المؤلفون: | Gilotra, Nisha A, Pamboukian, Salpy V, Mountis, Maria, Robinson, Shawn W, Kittleson, Michelle, Shah, Keyur B, Forde-McLean, Rhondalyn C, Haas, Donald C, Horstmanshof, Douglas A, Jorde, Ulrich P, Russell, Stuart D, Taddei-Peters, Wendy C, Jeffries, Neal, Khalatbari, Shokoufeh, Spino, Catherine A, Richards, Blair, Yosef, Matheos, Mann, Douglas L, Stewart, Garrick C, Aaronson, Keith D, Grady, Kathleen L |
| المصدر: | e019901 ; England |
| بيانات النشر: | American Heart Association |
| سنة النشر: | 2021 |
| المجموعة: | UMB Digital Archive (University of Maryland, Baltimore) |
| مصطلحات موضوعية: | caregiving, heart failure, left ventricular assist device, quality of life |
| الوصف: | Background Heart failure (HF) imposes significant burden on patients and caregivers. Longitudinal data on caregiver health-related quality of life (HRQOL) and burden in ambulatory advanced HF are limited. Methods and Results Ambulatory patients with advanced HF (n=400) and their participating caregivers (n=95) enrolled in REVIVAL (Registry Evaluation of Vital Information for VADs [Ventricular Assist Devices] in Ambulatory Life) were followed up for 24 months, or until patient death, left ventricular assist device implantation, heart transplantation, or loss to follow-up. Caregiver HRQOL (EuroQol Visual Analog Scale) and burden (Oberst Caregiving Burden Scale) did not change significantly from baseline to follow-up. At time of caregiver enrollment, better patient HRQOL by Kansas City Cardiomyopathy Questionnaire was associated with better caregiver HRQOL (P=0.007) and less burden by both time spent (P<0.0001) and difficulty (P=0.0007) of caregiving tasks. On longitudinal analyses adjusted for baseline values, better patient HRQOL (P=0.034) and being a married caregiver (P=0.016) were independently associated with better caregiver HRQOL. Patients with participating caregivers (versus without) were more likely to prefer left ventricular assist device therapy over time (odds ratio, 1.43; 95% CI, 1.03-1.99; P=0.034). Among patients with participating caregivers, those with nonmarried (versus married) caregivers were at higher composite risk of HF hospitalization, death, heart transplantation or left ventricular assist device implantation (hazard ratio, 2.99; 95% CI, 1.29-6.96; P=0.011). Conclusions Patient and caregiver characteristics may impact their HRQOL and other health outcomes over time. Understanding the patient-caregiver relationship may better inform medical decision making and outcomes in ambulatory advanced HF. ; https://doi.org/10.1161/JAHA.120.019901 |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | Journal of the American Heart Association; http://hdl.handle.net/10713/16185 |
| DOI: | 10.1161/JAHA.120.019901 |
| الاتاحة: | http://hdl.handle.net/10713/16185 https://doi.org/10.1161/JAHA.120.019901 |
| رقم الانضمام: | edsbas.D2EE7C49 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1161/JAHA.120.019901 |
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