Sökning: onr:"swepub:oai:DiVA.org:liu-202818" >
Patient-Reported St...
Patient-Reported Status and Heart Failure Outcomes in Asia by Sex, Ethnicity, and Socioeconomic Status
-
- Lawson, Claire A (författare)
- Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom; National Institute for Health Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester, United Kingdom; Leicester Real World Evidence Unit, Leicester, United Kingdom; NIHR Applied Research Collaboration-East Midlands, University of Leicester, Leicester, United Kingdom
-
- Tay, Wan Ting (författare)
- National Heart Centre Singapore, Singapore
-
- Richards, Mark (författare)
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Christchurch Heart Institute, University of Otago, Dunedin, New Zealand; National University Heart Centre, Singapore
-
visa fler...
-
- Zaccardi, Francesco (författare)
- NIHR Applied Research Collaboration-East Midlands, University of Leicester, Leicester, United Kingdom; Diabetes Research Centre, Leicester, United Kingdom
-
- Tromp, Jasper (författare)
- National Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore
-
- Teng, Tiew-Hwa Katherine (författare)
- National Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore, Singapore; School of Allied Health, University of Western Australia, Australia
-
- Hung, Chung-Lieh (författare)
- Department of Cardiology, MacKay Memorial Hospital, Taipei, Taiwan
-
- Chandramouli, Chanchal (författare)
- National Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore, Singapore
-
- Wander, Gurpreet S (författare)
- Department of Cardiology, Hero Dayanand Medical College Heart Institute, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
-
- Ouwerkerk, Wouter (författare)
- National Heart Centre Singapore, Singapore; Department of Dermatology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Infection and Immunity Institute, Amsterdam, the Netherlands
-
- Teramoto, Kanako (författare)
- National Heart Centre Singapore, Singapore
-
- Ali, Mohammad (författare)
- Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom; National Institute for Health Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester, United Kingdom
-
- Kadam, Umesh (författare)
- Diabetes Research Centre, Leicester, United Kingdom; Department of Health Sciences, University of Leicester, Leicestershire, United Kingdom
-
- Hand, Simon (författare)
- Department of Health Sciences, University of Leicester, Leicestershire, United Kingdom
-
- Harrison, Mary (författare)
- Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom
-
- Anand, Inder (författare)
- Cardiovascular Medicine, University of Minnesota, Minneapolis, Minnesota, USA
-
- Naik, Ajay (författare)
- Care Institute of Medical Sciences, Ahmedabad, India
-
- Squire, Iain (författare)
- Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom; National Institute for Health Research (NIHR) Biomedical Research Centre, University of Leicester, Leicester, United Kingdom
-
- Khunti, Kamlesh (författare)
- Leicester Real World Evidence Unit, Leicester, United Kingdom; NIHR Applied Research Collaboration-East Midlands, University of Leicester, Leicester, United Kingdom; Diabetes Research Centre, Leicester, United Kingdom
-
- Strömberg, Anna, 1967- (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
-
- Lam, Carolyn S P (författare)
- National Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore, Singapore; George Institute for Global Health, Sydney, Australia; Department of Cardiology, University of Groningen, Groningen, the Netherlands
-
visa färre...
-
(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
-
Ingår i: JACC. Asia. - : Elsevier. - 2772-3747. ; 3:3, s. 349-362
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://liu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: In heart failure (HF), symptoms and health-related quality of life (HRQoL) are known to vary among different HF subgroups, but evidence on the association between changing HRQoL and outcomes has not been evaluated.Objectives: The authors sought to investigate the relationship between changing symptoms, signs, and HRQoL and outcomes by sex, ethnicity, and socioeconomic status (SES).Methods: Using the ASIAN-HF (Asian Sudden Cardiac Death in Heart Failure) Registry, we investigated associations between the 6-month change in a "global" symptoms and signs score (GSSS), Kansas City Cardiomyopathy Questionnaire overall score (KCCQ-OS), and visual analogue scale (VAS) and 1-year mortality or HF hospitalization.Results: In 6,549 patients (mean age: 62 ± 13 years], 29% female, 27% HF with preserved ejection fraction), women and those in low SES groups had higher symptom burden but lower signs and similar KCCQ-OS to their respective counterparts. Malay patients had the highest GSSS (3.9) and lowest KCCQ-OS (58.5), and Thai/Filipino/others (2.6) and Chinese patients (2.7) had the lowest GSSS scores and the highest KCCQ-OS (73.1 and 74.6, respectively). Compared to no change, worsening of GSSS (>1-point increase), KCCQ-OS (≥10-point decrease) and VAS (>1-point decrease) were associated with higher risk of HF admission/death (adjusted HR: 2.95 [95% CI: 2.14-4.06], 1.93 [95% CI: 1.26-2.94], and 2.30 [95% CI: 1.51-3.52], respectively). Conversely, the same degrees of improvement in GSSS, KCCQ-OS, and VAS were associated with reduced rates (HR: 0.35 [95% CI: 0.25-0.49], 0.25 [95% CI: 0.16-0.40], and 0.64 [95% CI: 0.40-1.00], respectively). Results were consistent across all sex, ethnicity, and SES groups (interaction P > 0.05).Conclusions: Serial measures of patient-reported symptoms and HRQoL are significant and consistent predictors of outcomes among different groups with HF and provide the potential for a patient-centered and pragmatic approach to risk stratification.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- health; heart failure; hospitalization; mortality; signs; symptoms
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Lawson, Claire A
-
Tay, Wan Ting
-
Richards, Mark
-
Zaccardi, France ...
-
Tromp, Jasper
-
Teng, Tiew-Hwa K ...
-
visa fler...
-
Hung, Chung-Lieh
-
Chandramouli, Ch ...
-
Wander, Gurpreet ...
-
Ouwerkerk, Woute ...
-
Teramoto, Kanako
-
Ali, Mohammad
-
Kadam, Umesh
-
Hand, Simon
-
Harrison, Mary
-
Anand, Inder
-
Naik, Ajay
-
Squire, Iain
-
Khunti, Kamlesh
-
Strömberg, Anna, ...
-
Lam, Carolyn S P
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Folkhälsovetensk ...
- Artiklar i publikationen
-
JACC. Asia
- Av lärosätet
-
Linköpings universitet