Health-related quality of life and anemia in hospitalized patients with heart failure

I H Kraai, M L A Luttik, P Johansson, R M De Jong, D J Van Veldhuisen, H L Hillege, T Jaarsma

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Anemia is a serious and highly prevalent co-morbidity in chronic heart failure (HF) patients. Its influence on health-related quality of life (HR-QoL) has rarely been studied, and no data is available regarding the role it plays in hospitalized HF patients.

METHODS: Baseline data from the COACH study (Coordinating study evaluating Outcomes of Advising and Counselling in Heart Failure) were used. HR-QoL was assessed by means of generic and disease-specific questionnaires. Analyses were performed using ANOVA and ANCOVA, with covariates of age, gender, eGFR, diabetes, and NYHA class.

RESULTS: In total, 1013 hospitalized patients with a mean age of 71 (SD 11) years were included; 70% of these patients had no anemia (n=712), 14% had mild anemia (n=141), and 16% had moderate-to-severe anemia (n=160). Independent associations were found between anemia and physical functioning (p=0.019), anemia and role limitations due to physical functioning (p=0.002), anemia and general health (p=0.024), and anemia and global well-being (p=0.003).

CONCLUSION: In addition to the burden of HF itself, anemia is an important factor which influences HR-QoL in hospitalized HF patients, and one that is most pronounced in the domain related to physical functioning and general health.

Original languageEnglish
Pages (from-to)151-5
Number of pages5
JournalInternational Journal of Cardiology
Volume161
Issue number3
DOIs
Publication statusPublished - 29 Nov 2012
Externally publishedYes

Keywords

  • Aged
  • Aged, 80 and over
  • Anemia/epidemiology
  • Female
  • Health Status
  • Heart Failure/epidemiology
  • Hospitalization/trends
  • Humans
  • Male
  • Middle Aged
  • Quality of Life/psychology

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