Health‐related quality of life in left ventricular assist device‐supported patients
Abstract Aims This study aimed to evaluate the different health‐related quality of life (HR‐QoL) aspects in patients with both short‐term and long‐term duration LVAD support at pre‐specified time intervals. Methods and results We performed a single‐centre HR‐QoL analysis of short‐term and long‐term...
Main Authors: | , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2021-06-01
|
Series: | ESC Heart Failure |
Subjects: | |
Online Access: | https://doi.org/10.1002/ehf2.13282 |
id |
doaj-0760d3611bfd4a66af7438597b25fef3 |
---|---|
record_format |
Article |
spelling |
doaj-0760d3611bfd4a66af7438597b25fef32021-08-31T05:06:04ZengWileyESC Heart Failure2055-58222021-06-01832036204410.1002/ehf2.13282Health‐related quality of life in left ventricular assist device‐supported patientsOsnat Itzhaki Ben Zadok0Binyamin Ben-Avraham1Tiny Jaarsma2Aviv Shaul3Yoav Hammer4Yaron D. Barac5Israel Mats6Orit Eldar7Miriam Abuhazira8Vicky Yaari9Dmitry Gulobov10Mastwal Mulu11Dan Aravot12Ran Kornowski13Tuvia Ben-Gal14Department of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelDepartment of Nursing Science, Julius Center University Medical Center Utrecht Utrecht The NetherlandsDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelSackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelSackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelSackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelSackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelDepartment of Cardiology Rabin Medical Center 39 Jabotinsky St Petah Tikva 49100 IsraelAbstract Aims This study aimed to evaluate the different health‐related quality of life (HR‐QoL) aspects in patients with both short‐term and long‐term duration LVAD support at pre‐specified time intervals. Methods and results We performed a single‐centre HR‐QoL analysis of short‐term and long‐term LVAD‐supported patients using the short version of the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12) and the Changes in Sexual Functioning Questionnaire along with a survey to evaluate patients' social and driving routines. Data were collected at baseline and at 6 or 12 month follow‐up. Included were 46 patients with a median time from LVAD implantation of 1.1 [inter‐quartile range (IQR) 0.5, 2.6] years. The median KCCQ‐12 summary score was 56 (IQR 29, 74) with most favourable scores in the symptom frequency domain [75 (IQR 50, 92)] and worse scores in the physical limitation [42 (IQR 25, 75)] and QoL [44 (IQR 25, 75)] domains. No significant changes were apparent during study follow‐up [KCCQ‐12 summary score 56 (IQR 35, 80)], and no significant correlation between the KCCQ‐12 summary score and ventricular assist device‐support duration was detected (r = −0.036, P = 0.812). Sexual dysfunction was noted across all domains with a cumulative score of 31 (IQR 22, 42). Seventy‐six per cent of patients resumed driving after LVAD implantation, and 43% of patients reported they socialize with family and friends more frequently since surgery. Conclusions Short‐term and long‐term LVAD‐supported patients had impaired HR‐QoL and sexual function at baseline and at follow‐up yet reported an improvement in social interactions and independency. A broader spectrum of patient's reported HR‐QoL measures should be integrated into the pre‐LVAD implantation assessment and preparation.https://doi.org/10.1002/ehf2.13282Quality of lifeSexual dysfunctionLeft ventricular assist devicesHeart failure |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Osnat Itzhaki Ben Zadok Binyamin Ben-Avraham Tiny Jaarsma Aviv Shaul Yoav Hammer Yaron D. Barac Israel Mats Orit Eldar Miriam Abuhazira Vicky Yaari Dmitry Gulobov Mastwal Mulu Dan Aravot Ran Kornowski Tuvia Ben-Gal |
spellingShingle |
Osnat Itzhaki Ben Zadok Binyamin Ben-Avraham Tiny Jaarsma Aviv Shaul Yoav Hammer Yaron D. Barac Israel Mats Orit Eldar Miriam Abuhazira Vicky Yaari Dmitry Gulobov Mastwal Mulu Dan Aravot Ran Kornowski Tuvia Ben-Gal Health‐related quality of life in left ventricular assist device‐supported patients ESC Heart Failure Quality of life Sexual dysfunction Left ventricular assist devices Heart failure |
author_facet |
Osnat Itzhaki Ben Zadok Binyamin Ben-Avraham Tiny Jaarsma Aviv Shaul Yoav Hammer Yaron D. Barac Israel Mats Orit Eldar Miriam Abuhazira Vicky Yaari Dmitry Gulobov Mastwal Mulu Dan Aravot Ran Kornowski Tuvia Ben-Gal |
author_sort |
Osnat Itzhaki Ben Zadok |
title |
Health‐related quality of life in left ventricular assist device‐supported patients |
title_short |
Health‐related quality of life in left ventricular assist device‐supported patients |
title_full |
Health‐related quality of life in left ventricular assist device‐supported patients |
title_fullStr |
Health‐related quality of life in left ventricular assist device‐supported patients |
title_full_unstemmed |
Health‐related quality of life in left ventricular assist device‐supported patients |
title_sort |
health‐related quality of life in left ventricular assist device‐supported patients |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2021-06-01 |
description |
Abstract Aims This study aimed to evaluate the different health‐related quality of life (HR‐QoL) aspects in patients with both short‐term and long‐term duration LVAD support at pre‐specified time intervals. Methods and results We performed a single‐centre HR‐QoL analysis of short‐term and long‐term LVAD‐supported patients using the short version of the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12) and the Changes in Sexual Functioning Questionnaire along with a survey to evaluate patients' social and driving routines. Data were collected at baseline and at 6 or 12 month follow‐up. Included were 46 patients with a median time from LVAD implantation of 1.1 [inter‐quartile range (IQR) 0.5, 2.6] years. The median KCCQ‐12 summary score was 56 (IQR 29, 74) with most favourable scores in the symptom frequency domain [75 (IQR 50, 92)] and worse scores in the physical limitation [42 (IQR 25, 75)] and QoL [44 (IQR 25, 75)] domains. No significant changes were apparent during study follow‐up [KCCQ‐12 summary score 56 (IQR 35, 80)], and no significant correlation between the KCCQ‐12 summary score and ventricular assist device‐support duration was detected (r = −0.036, P = 0.812). Sexual dysfunction was noted across all domains with a cumulative score of 31 (IQR 22, 42). Seventy‐six per cent of patients resumed driving after LVAD implantation, and 43% of patients reported they socialize with family and friends more frequently since surgery. Conclusions Short‐term and long‐term LVAD‐supported patients had impaired HR‐QoL and sexual function at baseline and at follow‐up yet reported an improvement in social interactions and independency. A broader spectrum of patient's reported HR‐QoL measures should be integrated into the pre‐LVAD implantation assessment and preparation. |
topic |
Quality of life Sexual dysfunction Left ventricular assist devices Heart failure |
url |
https://doi.org/10.1002/ehf2.13282 |
work_keys_str_mv |
AT osnatitzhakibenzadok healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT binyaminbenavraham healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT tinyjaarsma healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT avivshaul healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT yoavhammer healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT yarondbarac healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT israelmats healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT oriteldar healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT miriamabuhazira healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT vickyyaari healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT dmitrygulobov healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT mastwalmulu healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT danaravot healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT rankornowski healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients AT tuviabengal healthrelatedqualityoflifeinleftventricularassistdevicesupportedpatients |
_version_ |
1721184256248512512 |