Quality of life of patients suffering from chronic heart failure in Central Portugal

Authors

  • Luiz Miguel Santiago Faculdade de Medicina da Universidade de Coimbra Clínica Universitária de Medicina Geral e Familiar da Faculdade de Medicina da Universidade de Coimbra USF Topázio, ACES Baixo Mondego http://orcid.org/0000-0002-9343-2827
  • João Vitor Fernandes MD. Faculdade de Medicina da Universidade de Coimbra. Coimbra, Portugal. https://orcid.org/0000-0002-1964-2025
  • João Pestana MD, Médico Especialista em Medicina Geral e Familiar. USF Topázio, ACeS Baixo Mondego. Coimbra, Portugal.
  • Raul Garcia MD, Médico Especialista em Medicina Geral e Familiar. USF Fernando Namora, ACeS Baixo Mondego. Condeixa-a-Nova, Portugal. https://orcid.org/0000-0003-0572-2240

DOI:

https://doi.org/10.32385/rpmgf.v40i3.13711

Keywords:

Chronic heart failure, General practice, Quality of life

Abstract

Objectives: To evaluate chronic heart failure patient’s (PSCHF) quality of life (QoL) and to ascertain its relationship with context variables, comparing results between a generic and a specific QoL measurement tool.

Methods: Observational cross-sectional study, in a convenience sample of PSCHF in 2022, applying in self-fulfilment, with the investigator’s help if requested, the Euro Quality of Life Instrument – 5D (EQ5D-3l), the Kansas City Cardiomyopathy Questionnaire (KCCQ) and context variables in the General Practice/Family setting, in random days. Good or bad QoL according to the median value. EQ5D-3l was studied according to the Portuguese norm.

Results: A n=50 sample, n=29 (58%) women, mean age 74.1±8.9 years, was studied. Significant differences were found for the level of studies, inferior for women (p=0.019). For 40% of PSCHF, there was unfamiliarity of suffering from it. Spearman correlation, between the EQ-5D-3L score and the QoL-specific domain of KCCQ, was ρ=0.452, p=0.001, and between EQ-5D-3L score and the KCCQ Overall Summary Scale, ρ=0.556, p<0.001. For the arbitrary categories of the KCCQ Overall Summary Scale (p=0.189) and the EQ5D3l Portuguese norm (p=0.242), between genders, there was no difference, with females showing worse results.

Discussion: Instruments for measuring the therapeutic results and health consequences in PSCHF can change the actual paradigm of CHF treatment, QoL in PSCHF being one of those changes, and doctors becoming aware of PSCHF’s personal and social determinants.

Conclusion: Bad QoL was revealed for 70.0% of this sample and bad QoL for PSCHF for 50.0%, females with worse results.  EQ-5D is easier to apply in a consultation ambiance, with only five questions, with KCCQ being more specific for PSCHF.

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Author Biography

  • Luiz Miguel Santiago, Faculdade de Medicina da Universidade de Coimbra Clínica Universitária de Medicina Geral e Familiar da Faculdade de Medicina da Universidade de Coimbra USF Topázio, ACES Baixo Mondego

    Luiz Miguel de Mendonça Soares Santiago é Licenciado em Medicina pela Universidade de Coimbra desde 1979, Mestre em Saúde Pública pela Universidade de Coimbra desde 2006 e Doutorado por unanimidade com distinção e louvor, pela Universidade de Coimbra, na Especialidade de Sociologia Médica, ramo de Medicina Preventiva e Comunitária desde 11/11/2009.

    É desde1/7/2017 Professor Associado da Faculdade de Medicina da Universidade de Coimbra, regendo as Unidades Curriculares de MISP IV, 3º Ano e de Medicina Geral e Familiar, 5º Ano.

    Desde 30 de Janeiro de 2018 tem o título de "Agregado".

    Médico, especialista em Medicina Geral e Familiar, é Consultor com o Grau de Assistente Graduado Sénior da Carreira de Medicina Geral e Familiar desde 2002, sendo orientador no Internato Complementar de Medicina Geral e Familiar desde 2006, tendo exercido na Unidade de Saúde Familiar Topázio em Coimbra, onde ainda continua actividade clínica, agora reduzida.

    Professor Associado Convidado da Universidade da Beira Interior, onde é regente das cadeiras de CSP I, II e III entre 2011 e 2017.

    Desde 2014 até 2017 foi Professor Adjunto Convidado da Coimbra Health Scholl lecionando Patologia Geral.   

    Membro da Academia Europeia de Professores em Medicina Geral e Familiar (EURACT) é orientador de Teses de Mestrado Integrado e de Mestrado Pré-Bolonha bem como de Doutoramento, na Universidade de Coimbra (2) e na Universidade da Beira Interior (6).

    É membro da Comissão de Ética da ARS do Centro.

    Tem vasta bibliografia publicada individualmente e em co-autoria em revistas nacionais e internacionais com “revisores-par” e indexadas (27 artigos).

    Desde março de 2017 é membro investigador do CEISUC, FEUC.

    Em Novembro de 2017 é eleito sócio correspondente da Academia Nacional de Medicina.

    Aguarda a marcação de Provas de Agregação a serem prestadas na Universidade da Beira Interior.

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Published

2024-07-08

Issue

Vol. 40 No. 3 (2024): Revista Portuguesa de Medicina Geral e Familiar

Section

Original Research

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How to Cite

Quality of life of patients suffering from chronic heart failure in Central Portugal. (2024). Portuguese Journal of Family Medicine and General Practice, 40(3), 210-8. https://doi.org/10.32385/rpmgf.v40i3.13711

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